Organization
EXCELCARE ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHURAJ TOMAR MD (PRESIDENT)
(856) 205-1112
Entity
Organization
Contact information
Practice address
76 S STATE ST, VINELAND, NJ 08360-4851
(856) 205-1112
(856) 205-1114
Mailing address
76 S STATE ST, VINELAND, NJ 08360-4851
(856) 205-1112
(856) 205-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
207R00000X
Internal Medicine Physician
—
NJ
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208000000X
Pediatrics Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261165
—
NJ
Enumeration date
01/12/2011
Last updated
08/06/2024
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