Alfred Joseph Wayslow
ROWANSOM MENTAL HEALTH CENTER FOR INTELLECTUAL DISABILITIES


Address: 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Phone: 8565666034

Alfred Joseph Wayslow (NPI# 1902879828, PAC ID# 6103837612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1902879828
PAC ID by PECOS 6103837612
Professional Enrollment ID I20060518000003
Full Name Alfred Joseph Wayslow
Organization Legal Name ROWANSOM MENTAL HEALTH CENTER FOR INTELLECTUAL DISABILITIES
Address 100 Century Pkwy
Suite 350
Mount Laurel
NJ 08054-1149
Phone Number 8565666034
Gender M
Credential DO
Medical School UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year 1992
Primary Specialty PSYCHIATRY
Group Practice PAC ID 2668773581
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310086 JEFFERSON STRATFORD HOSPITAL
310061 LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
310032 INSPIRA MEDICAL CENTER VINELAND

Other Locations

Address Phone Organization
100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149 8565666034 ROWANSOM MENTAL HEALTH CENTER FOR INTELLECTUAL DISABILITIES
100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149 8564829000 ROWANSOM DEPT OF PSYCHIATRY

Organization Information

Organization Legal Name ROWANSOM MENTAL HEALTH CENTER FOR INTELLECTUAL DISABILITIES
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Wendy F Aita Psychologist, Clinical Rowansom Mental Health Center for Intellectual Disabilities 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Andrew Levitas Psychiatry Rowansom Mental Health Center for Intellectual Disabilities 109 E Laurel Rd, Stratford, NJ 08084-1324
Joanne Gonzalez Psychologist, Clinical Rowansom Mental Health Center for Intellectual Disabilities 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Peg M Schanne Nurse Practitioner Rowansom Mental Health Center for Intellectual Disabilities 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
S Mark Sacher Psychiatry Rowansom Mental Health Center for Intellectual Disabilities 109 E Laurel Rd, Stratford, NJ 08084-1324

Office Location

Street Address 100 CENTURY PKWY
SUITE 350
City MOUNT LAUREL
State NJ
Zip 08054-1149

Physicians in the same location

Name Specialty Organization Address
Wendy F Aita Psychologist, Clinical Rowansom Mental Health Center for Intellectual Disabilities 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Helen Huafang Yi Psychiatry Rowansom Dept of Psychiatry 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Joanne Gonzalez Psychologist, Clinical Rowansom Mental Health Center for Intellectual Disabilities 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Samantha Mara Plasner Family Medicine Rowansom Dept of Family Practice 100 Century Pkwy, Suite 140, Mount Laurel, NJ 08054-1149
Peg M Schanne Nurse Practitioner Rowansom Mental Health Center for Intellectual Disabilities 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Sophia S Khan Family Medicine Rowansom Dept of Family Practice 100 Century Pkwy, Suite 140, Mount Laurel, NJ 08054-1149
Alfred J Moyer Nurse Practitioner Rowansom Dept of Psychiatry 100 Century Pkwy, Suite 350, Mount Laurel, NJ 08054-1149
Walter J Rhoades Psychiatry Rowansom Dept of Psychiatry 100 Century Pkwy, Mount Laurel, NJ 08054-1149
Joshua Scott Coren Family Medicine Rowansom Dept of Family Practice 100 Century Pkwy, Suite 140, Mount Laurel, NJ 08054-1149
Robert E Hudrick Family Medicine Rowansom Dept of Family Practice 100 Century Pkwy, Suite 140, Mount Laurel, NJ 08054-1149
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Name Specialty Organization Address
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Rosalie Marinari Dermatology Dermatology Associates of South Jersey, L.L.C. 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052
Adrienne Lauren Rinaldi Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Ashley M Roncone Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Addison Haskins Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Russell Abrams Neurology Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Peter G Pryzbylkowski Pain Management Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Ijeoma C Menkiti Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Kyriaki Revenidis Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Yohan Lee Chiropractic 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105
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Competitor

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City MOUNT LAUREL
Zip Code 08054
Specialty PSYCHIATRY
City + Specialty MOUNT LAUREL + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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