MEDICARE: KAREN D MEISELAS MD

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	MA47317	NJ

General Provider Information

NPI Number	:	1033382171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN D MEISELAS MD

Provider Business Mailing Address
First Line	:	150 MORRISTOWN RD
Second Line	:	PLAZA 202, SUITE 203
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2626
Country	:	US
Telephone Number	:	908-766-1000
Fax Number	:	908-766-0100

Provider Business Practice Location Address
First Line	:	150 MORRISTOWN RD
Second Line	:	PLAZA 202, SUITE 203
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2626
Country	:	US
Telephone Number	:	908-766-1000
Fax Number	:	908-766-0100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	09/14/2012

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