Basic Information
Provider Information
NPI: 1336191154
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOPIEL
FirstName: MARTIN
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 WHITBY RD
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080032230
CountryCode: US
TelephoneNumber: 6094105179
FaxNumber:  
Practice Location
Address1: 1001 BRIGGS RD
Address2: SUITE 250
City: MOUNT LAUREL
State: NJ
PostalCode: 080544100
CountryCode: US
TelephoneNumber: 8568667466
FaxNumber: 8568669088
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 10/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X25MA04412600NJY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

ID Information
IDTypeStateIssuerDescription
46820705NJ MEDICAID


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