National Provider Identifier Database

JACK DWOSH, MD – NPI #1033180724
Urology

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.


Contact Information

JACK DWOSH, MD
15000 MIDLANTIC DRIVE
SUITE 100
MOUNT LAUREL, NJ08054
Phone: 856-252-1000
Fax: 856-252-1100
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for JACK DWOSH

NPI Number 1033180724
Credentials MD
Entity Individual
Enumeration date 01/30/2006
Last updated 06/23/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA04771800
  • PA License #: MD064953L
  • Other: 0055472 AETNA
  • Other: 0073781000 AMERIHEALTH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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