Individual
MARTIN J NEILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 HAMBURG TPKE, SUITE 13, WAYNE, NJ 07470-2062
(973) 790-8585
(973) 790-1105
Mailing address
516 HAMBURG TPKE, SUITE 13, WAYNE, NJ 07470-2062
(973) 790-8585
(973) 790-1105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA45085
NJ
Other
Enumeration date
10/13/2005
Last updated
01/13/2010
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