Dwosh, Jack

Dwosh, Jack is an individual health care provider with primary practice located at 15000 Midlantic Drive Suite 100, Mt. Laurel NJ 08054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dwosh, Jack can be contacted via phone (856) 252-1000.

Contact Information

Primary practice address
15000 Midlantic Drive Suite 100 Mt. Laurel NJ 08054
Phone: (856) 252-1000
Fax: (856) 252-1100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD064953L Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA04771800 New Jersey

Profile Details

NPI number 1033180724
LBN Legal business name Dwosh, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jun 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033180724 NPPES
Other 0055472 AETNA
Other 0073781000 AETNA

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