Provider Demographics
NPI:1417055435
Name:MERLINO, PAUL JOSEPH III (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:MERLINO
Suffix:III
Gender:M
Credentials:DC
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 1216
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-0028
Mailing Address - Country:US
Mailing Address - Phone:856-685-7691
Mailing Address - Fax:856-685-7691
Practice Address - Street 1:102 CENTRE BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4129
Practice Address - Country:US
Practice Address - Phone:856-685-7691
Practice Address - Fax:856-452-5179
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00569000111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU83960Medicare UPIN
NJ045925Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID