Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | C1-0005687 | DE |
N | 2081P2900X | Pain Medicine | MA06671200 | NJ |
N | 2081P2900X | Pain Medicine | MD054290L | PA |
NPI | 1366467797 |
---|---|
Provider Name | Dr. Jeffery Saul Meyers |
First Address | Wilmington, DE 19802-4722 |
Second Address | Wilmington, DE 19802-4722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G30984 | (02) | DE |