Provider Demographics
NPI:1144549395
Name:ZEISES, ALVIN (ALVIN ZEISES)
Entity type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:
Last Name:ZEISES
Suffix:
Gender:M
Credentials:ALVIN ZEISES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GREENSWARD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4702
Mailing Address - Country:US
Mailing Address - Phone:856-667-0816
Mailing Address - Fax:856-667-7555
Practice Address - Street 1:702 BROWNING RD
Practice Address - Street 2:
Practice Address - City:BROOKLAWN
Practice Address - State:NJ
Practice Address - Zip Code:08030
Practice Address - Country:US
Practice Address - Phone:856-456-7141
Practice Address - Fax:856-456-9280
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO1248400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist