Doctor Name: | DR. JOSEPH ANTHONY MEGARA |
NPI Number: | 1770650947 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00273100 |
Business Practice Address: | 204 Grove Ave Suite G West Deptford, NJ - 080862557 |
Business Phone Number: | 8565798674 |
Business Fax Number: | 8565798676 |
Mailing Address: | 204 Grove Ave, Suite G WEST DEPTFORD |
State: | NJ |
Postal Code: | 080862557 |
Phone Number: | 8565798674 |
Fax Number: | 8565798676 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00273100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |