Healthcare Provider Details

I. General information

NPI: 1811083991
Provider Name (Legal Business Name): ALAN R TURTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 COOPER PLAZA SUITE 403
CAMDEN NJ
08103
US

IV. Provider business mailing address

1 FEDERAL ST SUITE SW200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-2701
  • Fax: 856-968-8222
Mailing address:
  • Phone: 856-382-6530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD039908E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MA06357600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: