Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DI 15975 | NJ |
NPI | 1740206598 |
---|---|
Provider Name | Dr. Stuart H Meyer |
First Address | Ocean, NJ 07712-3319 |
Second Address | Ocean, NJ 07712-3549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |