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NPI Code Detail

MEDICARE: ALYN ROBINSON CAULK MD

MEDICARE: ALYN ROBINSON CAULK 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
1207Q00000XFamily Medicine Physician25MA053382NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154406577
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYN ROBINSON CAULK MD
Provider Business Mailing Address
First Line : 12 EVERGREEN LN
Second Line :
City : HADDONFIELD
State : NJ
Zip : 08033-1202
Country : US
Telephone Number : 856-429-7125
Fax Number : 215-685-7739
Provider Business Practice Location Address
First Line : 7901 STATE RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-3407
Country : US
Telephone Number : 215-685-7741
Fax Number : 215-685-7739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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