Healthcare Provider Details

I. General information

NPI: 1144549395
Provider Name (Legal Business Name): ALVIN ZEISES ALVIN ZEISES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 BROWNING RD
BROOKLAWN NJ
08030
US

IV. Provider business mailing address

16 GREENSWARD
CHERRY HILL NJ
08002-4702
US

V. Phone/Fax

Practice location:
  • Phone: 856-456-7141
  • Fax: 856-456-9280
Mailing address:
  • Phone: 856-667-0816
  • Fax: 856-667-7555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RIO1248400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: