Healthcare Provider Details

I. General information

NPI: 1831598788
Provider Name (Legal Business Name): ALAUKIK BHASIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2014
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 CHAPEL AVE W
CHERRY HILL NJ
08002-2051
US

IV. Provider business mailing address

1945 STATE ROUTE 33
NEPTUNE NJ
07753-4859
US

V. Phone/Fax

Practice location:
  • Phone: 856-482-9000
  • Fax:
Mailing address:
  • Phone: 732-776-4930
  • Fax: 732-776-4929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MB10019600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: