MEDICARE: DR. ALEX TERRY MAKRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	MA026096	NJ

General Provider Information

NPI Number	:	1346262748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX TERRY MAKRIS MD

Provider Business Mailing Address
First Line	:	532 OLD MARLTON PIKE W
Second Line	:	PMB #195
City	:	MARLTON
State	:	NJ
Zip	:	08053-2075
Country	:	US
Telephone Number	:	856-424-0600
Fax Number	:	856-424-4470

Provider Business Practice Location Address
First Line	:	532 OLD MARLTON PIKE W
Second Line	:	PMB #195
City	:	MARLTON
State	:	NJ
Zip	:	08053-2075
Country	:	US
Telephone Number	:	856-424-0600
Fax Number	:	856-424-4470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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