Provider Demographics
NPI:1881769115
Name:PALMIERI, RONALD JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOHN
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2817
Mailing Address - Country:US
Mailing Address - Phone:856-869-4934
Mailing Address - Fax:
Practice Address - Street 1:212 HADDON AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:NJ
Practice Address - Zip Code:08108-2817
Practice Address - Country:US
Practice Address - Phone:856-869-4934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA25031112002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D06358Medicare UPIN
PA427899Medicare ID - Type Unspecified