Provider Demographics
NPI:1720080559
Name:MEST, STUART (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:MEST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 GROVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1761
Mailing Address - Country:US
Mailing Address - Phone:856-796-9200
Mailing Address - Fax:856-796-9397
Practice Address - Street 1:811 SUNSET RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3645
Practice Address - Country:US
Practice Address - Phone:609-298-1776
Practice Address - Fax:609-531-2391
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2013-12-26
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05310200207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2403307Medicaid
NJ401587C04Medicare PIN
NJ2403307Medicaid