Individual
MR. IAN ANTHONY MENEWISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
214 CAMDEN AVE, VOORHEES, NJ 08043-1312
(856) 366-6077
Mailing address
214 CAMDEN AVE, VOORHEES, NJ 08043-1312
(856) 366-6077
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR15117700
NJ
Other
Enumeration date
09/16/2013
Last updated
04/25/2016
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