Provider Demographics
NPI:1609953439
Name:AMER, ADEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEL
Middle Name:M
Last Name:AMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ADEL
Other - Middle Name:M
Other - Last Name:AMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:777 S WHITE HORSE PIKE
Mailing Address - Street 2:SUITE E
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2029
Mailing Address - Country:US
Mailing Address - Phone:609-567-0608
Mailing Address - Fax:609-567-1295
Practice Address - Street 1:777 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE E
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2029
Practice Address - Country:US
Practice Address - Phone:609-567-0608
Practice Address - Fax:609-567-1295
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA063447173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7197900Medicaid