Provider Demographics
NPI:1770759359
Name:ALGAZY, JEFFREY IAN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:IAN
Last Name:ALGAZY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:39 E MONTGOMERY AVE UNIT 403
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2534
Mailing Address - Country:US
Mailing Address - Phone:973-342-7556
Mailing Address - Fax:973-549-1562
Practice Address - Street 1:110 EDISON PL STE 400
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-4906
Practice Address - Country:US
Practice Address - Phone:973-342-7556
Practice Address - Fax:973-549-1562
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2024-12-24
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07371400207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine