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Individual

JAY MARK HARMELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
23 CRESTVIEW DR, SOMERS POINT, NJ 08244-1611
(609) 927-1105
(609) 926-2038
Mailing address
23 CRESTVIEW DR, SOMERS POINT, NJ 08244-1611
(609) 927-1105
(609) 926-2038

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00138500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0081907000
AMERIHEALTH
NJ
Enumeration date
03/23/2007
Last updated
03/30/2012
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