MEDICARE: STUART MEST 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	207R00000X	Internal Medicine Physician	25MA05310200	NJ
2	207RP1001X	Pulmonary Disease Physician	25MA05310200	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	:	1720080559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART MEST M.D.

Provider Business Mailing Address
First Line	:	500 GROVE ST
Second Line	:	SUITE 100
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1761
Country	:	US
Telephone Number	:	856-796-9200
Fax Number	:	856-796-9397

Provider Business Practice Location Address
First Line	:	811 SUNSET RD
Second Line	:	SUITE 201
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-3645
Country	:	US
Telephone Number	:	609-298-1776
Fax Number	:	609-531-2391

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	12/26/2013

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Directions to “ STUART MEST M.D.” Practice Location

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