Provider Demographics
NPI:1740356898
Name:MEER, JOEL (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:MEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CLIFFORD ST # 137
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1908
Mailing Address - Country:US
Mailing Address - Phone:973-622-0888
Mailing Address - Fax:973-622-1610
Practice Address - Street 1:119 CLIFFORD ST # 137
Practice Address - Street 2:SUITE 101
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1908
Practice Address - Country:US
Practice Address - Phone:973-622-0888
Practice Address - Fax:973-622-1610
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05171600208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE41511Medicare UPIN
NJ028702SU1Medicare PIN