Provider Demographics
NPI:1750548244
Name:MCCLURE, ALAN GREGORY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GREGORY
Last Name:MCCLURE
Suffix:
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 1:327 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2831
Mailing Address - Country:US
Mailing Address - Phone:856-869-0009
Mailing Address - Fax:856-869-0008
Practice Address - Street 1:327 HADDON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTMONT
Practice Address - State:NJ
Practice Address - Zip Code:08108-2831
Practice Address - Country:US
Practice Address - Phone:856-869-0009
Practice Address - Fax:856-869-0008
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03972700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist