Individual
NEAL IRA MERMELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7439 FRANKFORD AVE, PHILADELPHIA, PA 19136-3632
(215) 333-9484
(215) 333-7739
Mailing address
7439 FRANKFORD AVE, PHILADELPHIA, PA 19136-3632
(215) 333-9484
(215) 333-7739
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS005880L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011043040003
—
PA
Enumeration date
06/12/2006
Last updated
03/15/2016
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