Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 25MA 03935700 | NJ |
NPI | 1336248293 |
---|---|
Provider Name | Dr. Steven L. Nehmer |
First Address | Union, NJ 07083-6002 |
Second Address | Union, NJ 07083-6002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3212009 | (05) | NJ |
C54226 | (02) | NJ |