Provider Demographics
NPI:1477865426
Name:MEZERA, MEGAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:A
Last Name:MEZERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 FEDERAL ST STE SW200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:856-735-6467
Practice Address - Street 1:TWO COOPER PLAZA 400 HADDON AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:855-632-2667
Practice Address - Fax:856-735-6467
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA102774002085R0001X
KY485792085R0001X
IN01075635A2085R0001X
KYTP5432085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology