Individual
DR. EARLE BRUCE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
309 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2767
(609) 261-9660
Mailing address
309 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2767
(609) 261-9660
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00185200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3682102
—
NJ
Enumeration date
05/23/2006
Last updated
06/09/2014
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