Healthcare Provider Details

I. General information

NPI: 1275533036
Provider Name (Legal Business Name): ANDREW M ALLOY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 03/25/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 EVESHAM ROAD BUILDING 800 SUITE 110
VOORHEES NJ
08043-4406
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-772-1600
  • Fax: 856-772-9031
Mailing address:
  • Phone: 856-355-0340
  • Fax: 856-355-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberOS004534L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MB03626200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: