Provider Demographics
NPI:1598126716
Name:GERMER, OMAR ARTHUR
Entity Type:Individual
Prefix:MR
First Name:OMAR
Middle Name:ARTHUR
Last Name:GERMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SPRINGCRESS DR
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2822
Mailing Address - Country:US
Mailing Address - Phone:856-316-9037
Mailing Address - Fax:
Practice Address - Street 1:13 SPRINGCRESS DR
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2822
Practice Address - Country:US
Practice Address - Phone:856-316-9037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00095600101YA0400X
NJ37PC0030900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)