Provider Demographics
NPI:1831129659
Name:GEISLER, ALAN K (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:K
Last Name:GEISLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1020 LAUREL OAK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3518
Mailing Address - Country:US
Mailing Address - Phone:856-435-8842
Mailing Address - Fax:856-435-6301
Practice Address - Street 1:1020 LAUREL OAK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3518
Practice Address - Country:US
Practice Address - Phone:856-435-8842
Practice Address - Fax:856-435-6301
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB039460207UN0901X
NJ25MB03946000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2308002Medicaid
NJ446283MXVMedicare ID - Type Unspecified
NJE76765Medicare UPIN