Provider Demographics
NPI:1144344649
Name:MERO, RAYMOND J (DO)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:J
Last Name:MERO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4 STONE MEADOW ROAD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801
Mailing Address - Country:US
Mailing Address - Phone:908-236-7450
Mailing Address - Fax:
Practice Address - Street 1:492 ROUTE 57 WEST
Practice Address - Street 2:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882
Practice Address - Country:US
Practice Address - Phone:908-689-1000
Practice Address - Fax:908-689-4529
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB056882002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F78300Medicare UPIN
NJ766091Medicare ID - Type Unspecified