MEDICARE: DR. KEITH MESLIN M.D.

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	208600000X	Surgery Physician	MD430195	PA
2	208600000X	Surgery Physician	25MA07881400	NJ
3	208C00000X	Colon & Rectal Surgery Physician	MD430195	PA
4	208C00000X	Colon & Rectal Surgery Physician	25MA07881400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477554780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH MESLIN M.D.

Provider Business Mailing Address
First Line	:	5 EVES DR
Second Line	:	SUITE 120A
City	:	MARLTON
State	:	NJ
Zip	:	08053-3135
Country	:	US
Telephone Number	:	856-355-0340
Fax Number	:	856-355-0346

Provider Business Practice Location Address
First Line	:	200 BOWMAN DR STE E66
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-9623
Country	:	US
Telephone Number	:	856-247-7295
Fax Number	:	856-247-7118

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	04/23/2025

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