Individual
KEITH A MERITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD STE 1297, VALHALLA, NY 10595-1530
(201) 388-9766
Mailing address
100 WOODS RD STE 1297, VALHALLA, NY 10595-1530
(201) 388-9766
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
159026
NY
2085R0001X
Radiation Oncology Physician
25MA05601300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA05601300
NJ LICENSE
NJ
01
—
MD056069L
PA LICENSE
PA
Enumeration date
12/11/2006
Last updated
01/10/2022
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