Provider Demographics
NPI:1932372166
Name:BEYER, NINA RUTH (VMD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:RUTH
Last Name:BEYER
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 PARKVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:MANTUA
Mailing Address - State:NJ
Mailing Address - Zip Code:08051-0189
Mailing Address - Country:US
Mailing Address - Phone:856-848-0020
Mailing Address - Fax:856-468-3255
Practice Address - Street 1:111 PARKVILLE RD.
Practice Address - Street 2:
Practice Address - City:MANTUA
Practice Address - State:NJ
Practice Address - Zip Code:08051-0189
Practice Address - Country:US
Practice Address - Phone:856-848-0020
Practice Address - Fax:856-468-3255
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00272200174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian