Provider Demographics
NPI:1730450040
Name:MEGHAN MURPHY SCHMELZER CARUSO, DO, L.L.C.
Entity type:Organization
Organization Name:MEGHAN MURPHY SCHMELZER CARUSO, DO, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-983-4646
Mailing Address - Street 1:9002 LINCOLN DR W STE D
Mailing Address - Street 2:SUITE D
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3204
Mailing Address - Country:US
Mailing Address - Phone:856-983-4646
Mailing Address - Fax:856-983-4760
Practice Address - Street 1:9002 LINCOLN DR W STE D
Practice Address - Street 2:SUITE D
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3204
Practice Address - Country:US
Practice Address - Phone:856-983-4646
Practice Address - Fax:856-983-4760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06858000207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ029511Medicare PIN