Mogtader, Allen

Mogtader, Allen is an individual health care provider with primary practice located at 200 Trenton Rd , Browns Mills NJ 08015-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mogtader, Allen can be contacted via phone (609) 893-1200.

Contact Information

Primary practice address
200 Trenton Rd Browns Mills NJ 08015-1705
Phone: (609) 893-1200
Fax: (609) 735-0175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA06270700 New Jersey

Profile Details

NPI number 1104864008
LBN Legal business name Mogtader, Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 15th, 2012 - about 12 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 1104864008 NPPES
New Jersey MEDICAID 6754309

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