Provider Demographics
NPI:1346262748
Name:MAKRIS, ALEX TERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:TERRY
Last Name:MAKRIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:532 OLD MARLTON PIKE W
Mailing Address - Street 2:PMB #195
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2075
Mailing Address - Country:US
Mailing Address - Phone:856-424-0600
Mailing Address - Fax:856-424-4470
Practice Address - Street 1:532 OLD MARLTON PIKE W
Practice Address - Street 2:PMB #195
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2075
Practice Address - Country:US
Practice Address - Phone:856-424-0600
Practice Address - Fax:856-424-4470
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA026096207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC58606Medicare UPIN