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NPI Code Detail

MEDICARE: DR. DAVID ISAK MAYERHOFF M.D.

MEDICARE: DR. DAVID ISAK MAYERHOFF 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
12084P0800XPsychiatry Physician25MA06839800NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1028262C2EOTHERNJMEDICARE BILLING NO.

General Provider Information

NPI Number : 1861568834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ISAK MAYERHOFF M.D.
Provider Business Mailing Address
First Line : 59 KOCH AVE
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-4400
Country : US
Telephone Number : 973-538-1800
Fax Number :
Provider Business Practice Location Address
First Line : 59 KOCH AVE
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-4400
Country : US
Telephone Number : 973-538-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 12/17/2009

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