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NPI Code Detail

MEDICARE: MITCHELL F. MAYER D.O.

MEDICARE: MITCHELL F. MAYER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMB48348NJ

General Provider Information

NPI Number : 1639173008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL F. MAYER D.O.
Provider Business Mailing Address
First Line : 400 GILL LN
Second Line :
City : ISELIN
State : NJ
Zip : 08830-3001
Country : US
Telephone Number : 732-404-1580
Fax Number : 732-404-1594
Provider Business Practice Location Address
First Line : 400 GILL LN
Second Line :
City : ISELIN
State : NJ
Zip : 08830-3001
Country : US
Telephone Number : 732-404-1580
Fax Number : 732-404-1594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 03/18/2014

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Directions to “ MITCHELL F. MAYER D.O.” Practice Location

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