Provider Demographics
NPI:1851726152
Name:MANUS, ALAN M (DO)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:M
Last Name:MANUS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 OLD MILL DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4781
Mailing Address - Country:US
Mailing Address - Phone:856-566-2634
Mailing Address - Fax:856-566-2632
Practice Address - Street 1:30 OLD MILL DR
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4781
Practice Address - Country:US
Practice Address - Phone:856-566-2634
Practice Address - Fax:856-566-2632
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD02750300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology