| Organization Name: | CHARLES E. MEUSBURGER M.D., L.L.C |
| NPI Number: | 1801910336 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA R. SCOTT (SECRETARY) |
| Mailing Address: | 707 White Horse Pike Ste E4 Absecon |
| State: | NJ US |
| Postal Code: | 082011463 |
| Phone Number: | 6094840770 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 25MA05491900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |