| Doctor Name: | DR. ALFRED R TAWADROUS |
| NPI Number: | 1437237773 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25MA07842400 |
| Business Practice Address: | 44 Milford Circle Voorhees, NJ - 08043 |
| Business Phone Number: | 8564356059 |
| Business Fax Number: | |
| Mailing Address: | 901 Route 73 N C, MARLTON |
| State: | NJ |
| Postal Code: | 080531226 |
| Phone Number: | 8565819711 |
| Fax Number: | 8565810972 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA07842400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |