Provider Demographics
NPI:1275938656
Name:MEYER, CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2529
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-3849
Mailing Address - Country:US
Mailing Address - Phone:973-986-3177
Mailing Address - Fax:
Practice Address - Street 1:605 GROVE ST
Practice Address - Street 2:#I14
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3849
Practice Address - Country:US
Practice Address - Phone:973-986-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2018-10-22
Deactivation Date:2018-02-17
Deactivation Code:
Reactivation Date:2018-03-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management