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Joel Namm

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NPI Number Detailed Information

Provider Information:

Name: Joel Namm
Gender: M
Provider License Number If Given: MA02456600

NPI Information:

NPI: 1487653770
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 3625 QUAKERBRIDGE RD
Hamilton, NJ 08619
Phone Number: 6096891600
Fax Number: 6096891200

Provider Business Practice Location Address:

Address: 1255 WHITEHORSE MERCERVILLE RD SUITE 514
Hamilton, NJ 08619
Phone Number: 6095858800
Fax Number: 6095851825

Provider Taxonomy:

Primary: 2085B0100X
Secondary (if any):
State: NJ