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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 |
