Provider Demographics
NPI:1780919605
Name:GEYER, AIMEE (MT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:GEYER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 3RD AVE
Mailing Address - Street 2:NORTH APT.
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-1328
Mailing Address - Country:US
Mailing Address - Phone:732-693-4208
Mailing Address - Fax:
Practice Address - Street 1:1115 3RD AVE
Practice Address - Street 2:NORTH APT.
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1328
Practice Address - Country:US
Practice Address - Phone:732-693-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor