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NPI Code Detail

MEDICARE: DR. MICHAEL ALBERTO PALMER MD

MEDICARE: DR. MICHAEL ALBERTO PALMER 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
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician25MA05547100NJ
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician25MA05547100NJ
32081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician25MA05547100NJ

General Provider Information

NPI Number : 1710960570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALBERTO PALMER MD
Provider Business Mailing Address
First Line : 325 PRINCETON AVE
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-1617
Country : US
Telephone Number : 609-924-8131
Fax Number : 609-924-8532
Provider Business Practice Location Address
First Line : 325 PRINCETON AVE
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-1617
Country : US
Telephone Number : 609-924-8131
Fax Number : 609-924-8532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 10/01/2019

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