Provider Demographics
NPI:1609877026
Name:MCALLISTER, JOHN II (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:MCALLISTER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 101ST ST
Mailing Address - Street 2:
Mailing Address - City:STONE HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08247-1824
Mailing Address - Country:US
Mailing Address - Phone:609-368-6262
Mailing Address - Fax:
Practice Address - Street 1:281 101ST ST
Practice Address - Street 2:
Practice Address - City:STONE HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08247-1824
Practice Address - Country:US
Practice Address - Phone:609-368-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100041262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
014832P25Medicare ID - Type Unspecified