Provider Demographics
NPI:1265557631
Name:ALLCARE MEDICAL SNJ , LLC
Entity type:Organization
Organization Name:ALLCARE MEDICAL SNJ , LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FUHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-251-8000
Mailing Address - Street 1:8 E STOW RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3161
Mailing Address - Country:US
Mailing Address - Phone:732-251-8000
Mailing Address - Fax:866-866-1056
Practice Address - Street 1:8 E STOW RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3161
Practice Address - Country:US
Practice Address - Phone:732-251-8000
Practice Address - Fax:866-866-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0016829Medicaid
NJ5022910001Medicare NSC