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Dr. Jack Dwosh, MD
Urology Physician in Mt. Laurel, New Jersey
NPI 1033180724

Jack Dwosh is a Urology Physician based in Mount Laurel, NJ. Jack Dwosh practices in Mt. Laurel, NJ and has the professional credentials of MD. The NPI Number for Jack Dwosh is 1033180724 and holds a License No. MD064953L (New Jersey).

The current practice location address for Jack Dwosh is 15000 Midlantic Drive, Mt. Laurel, NJ and can be reached out via phone at 856-252-1000 and via fax at 856-252-1100.

Location: 15000 Midlantic Drive, Mt. Laurel, NJ, 08054-1573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033180724
Provider Name
Jack Dwosh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15000 Midlantic Drive, Mt. Laurel, NJ, 08054-1573
Phone Number
856-252-1000
Fax Number
856-252-1100
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0055472 01 AETNA
0073781000 01 AMERIHEALTH
institution
Provider Business Practice Location Address Details
Address
15000 Midlantic Drive
City
Mt. Laurel
State
New Jersey
Zip
08054
Phone Number
856-252-1000
Fax Number
856-252-1100
person
Provider Business Mailing Address Details
Address
15000 Midlantic Drive
City
Mt. Laurel
State
New Jersey
Zip
08054
Phone Number
856-252-1000
Fax Number
856-252-1100
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD064953L (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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