Healthcare Provider Details

I. General information

NPI: 1871722579
Provider Name (Legal Business Name): GEORGE JOSEPH NEUMAIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 ORCHARD RD
FLEETWOOD PA
19522-9050
US

IV. Provider business mailing address

245 ORCHARD RD
FLEETWOOD PA
19522-9050
US

V. Phone/Fax

Practice location:
  • Phone: 610-944-9277
  • Fax: 610-944-9277
Mailing address:
  • Phone: 610-944-9277
  • Fax: 610-944-9277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License Number25MA02503600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: