Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 25MA03196400 | NJ |
NPI | 1023088648 |
---|---|
Provider Name | Allen C Zechowy |
First Address | Haddon Heights, NJ 08035-1761 |
Second Address | Cherry Hill, NJ 08034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 27/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0464201 | (05) | NJ |
130003783 | MEDICARE ID (01) | NJ |
C53423 | (02) |