Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 22D100923600 | NJ |
N | 1223P0300X | Periodontist | DS018710L | PA |
NPI | 1063613602 |
---|---|
Provider Name | Dr. Alan M Meltzer |
First Address | Voorhees, NJ 08043-2176 |
Second Address | Voorhees, NJ 08043-2176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 18/03/2019 |