Provider Demographics
NPI:1639753973
Name:MEERWARTH, PETER ANDREW
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:ANDREW
Last Name:MEERWARTH
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 1:20 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1610
Mailing Address - Country:US
Mailing Address - Phone:609-903-6560
Mailing Address - Fax:
Practice Address - Street 1:42 S MAIN ST # B1-R
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-1685
Practice Address - Country:US
Practice Address - Phone:609-903-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty