Provider Demographics
NPI:1699153783
Name:SCHOSHEIM, ALEXANDER JORDAN (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JORDAN
Last Name:SCHOSHEIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 ROUTE 35 UNIT 204
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3533
Mailing Address - Country:US
Mailing Address - Phone:732-923-6080
Mailing Address - Fax:732-923-6083
Practice Address - Street 1:1300 ROUTE 35 UNIT 204
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3533
Practice Address - Country:US
Practice Address - Phone:732-923-6080
Practice Address - Fax:732-923-6083
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11138500208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty