Individual
DR. ALAN JAY MUSHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 CENTENNIAL BLVD STE 3, VOORHEES, NJ 08043-9544
(856) 772-1600
(856) 772-9031
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04159900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333204
—
NJ
01
—
P00359023
MEDICARE RR
NJ
Enumeration date
10/05/2005
Last updated
10/21/2024
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