Jack Dwosh, MD
Urology Physician · Mt. Laurel, NJ
Practice location
15000 Midlantic DriveSuite 100
Mt. Laurel, NJ 08054
- Phone
- (856) 252-1000
- Fax
- (856) 252-1100
NPI record
- NPI
- 1033180724
- Entity type
- Individual (Type 1)
- Enumeration date
- January 30, 2006
- Last updated
- June 23, 2021
- Certified
- June 23, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Physician Primary | 208800000X |
25MA04771800 | NJ |
| Urology Physician | 208800000X |
MD064953L | PA |
Mailing address
15000 Midlantic DrSuite 100
Mount Laurel, NJ 08054-1573
- Phone
- (856) 252-1000
- Fax
- (856) 252-1100
About Dr. Dwosh
Jack Dwosh, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 15000 Midlantic Drive, Suite 100, Mt. Laurel, NJ 08054. The NPI number 1033180724 was assigned on January 30, 2006 and the record was last updated on June 23, 2021.
Dr. Dwosh lists 2 licenses in the registry: #25MA04771800 (NJ) for Urology Physician; #MD064953L (PA) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Dwosh, MD?
The NPI number is 1033180724.
What is the phone number of Dr. Dwosh?
The phone number listed for the practice location is (856) 252-1000.
Where is Dr. Dwosh located?
15000 Midlantic Drive, Suite 100, Mt. Laurel, NJ 08054.
What is the taxonomy code for Dr. Dwosh?
The primary taxonomy code is 208800000X – Urology Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.