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Individual

DR. JOSEPH ANTHONY MEGARA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
204 GROVE AVE, SUITE G, WEST DEPTFORD, NJ 08086-2557
(856) 579-8674
(856) 579-8676
Mailing address
204 GROVE AVE, SUITE G, WEST DEPTFORD, NJ 08086-2557
(856) 579-8674
(856) 579-8676

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00273100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002046
NJ
01
1951002
CIGNA PROVIDER NUMBER
NJ
01
2335837000
AMERIHEALTH NUMBER
NJ
01
273402206
GRUP TAX ID
NJ
01
2K5088
TRICARE AND HEALTHNET
NJ
01
91001485801
AMERICHOICE GROUP NUMBER
NJ
01
G3597421
OXFORD GROUP NUMBER
NJ
01
P3597426
OXFORD INDIVIDUAL NUMBER
NJ
Enumeration date
11/30/2006
Last updated
07/05/2022
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