MEDICARE: DR. ALAN RASKAS DDS

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
1	122300000X	Dentist	22DI00874100	NJ

General Provider Information

NPI Number	:	1962405829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN RASKAS DDS

Provider Business Mailing Address
First Line	:	523 BRIAN DR
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-3007
Country	:	US
Telephone Number	:	856-795-5698
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 SPLIT ROCK DR
Second Line	:	STE 10
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-1244
Country	:	US
Telephone Number	:	856-424-3335
Fax Number	:	856-424-8753

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/28/2008

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Directions to “ DR. ALAN RASKAS DDS” Practice Location

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