Provider Demographics
NPI:1508235409
Name:JOYNER, MELISSA
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:JOYNER
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 1:200 HADDONFIELD BERLIN RD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1400
Mailing Address - Country:US
Mailing Address - Phone:856-354-8000
Mailing Address - Fax:
Practice Address - Street 1:200 HADDONFIELD BERLIN RD
Practice Address - Street 2:SUITE #3
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1400
Practice Address - Country:US
Practice Address - Phone:856-354-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ32WG049843001744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management