Provider Demographics
NPI:1912293283
Name:NEAL, JOHN WILLIAM VI (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:WILLIAM
Last Name:NEAL
Suffix:VI
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 BERGEN ST
Mailing Address - Street 2:ACC D1610
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2425
Mailing Address - Country:US
Mailing Address - Phone:973-972-4520
Mailing Address - Fax:973-972-3897
Practice Address - Street 1:205 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2785
Practice Address - Country:US
Practice Address - Phone:973-972-4520
Practice Address - Fax:973-972-3897
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2019-04-16
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Provider Licenses
StateLicense IDTaxonomies
SCLL33888207X00000X
NJ25MA09908500207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery