Individual
NANCY MERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
932 S MAIN ST, PLEASANTVILLE, NJ 08232-3646
(609) 383-0880
(609) 383-0658
Mailing address
860 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2018
(609) 567-0200
(609) 704-1482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05075400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186284N4X
MEDICARE PTAN
NJ
05
—
4012704
—
NJ
Enumeration date
08/21/2006
Last updated
02/28/2011
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