Basic Information
Provider Information
NPI: 1639378102
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERZ
FirstName: DANIEL
MiddleName: FRANCIS
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1925 PACIFIC AVE
Address2:  
City: ATLANTIC CITY
State: NJ
PostalCode: 084016713
CountryCode: US
TelephoneNumber: 6094418127
FaxNumber: 6094418021
Practice Location
Address1: 1925 PACIFIC AVE
Address2:  
City: ATLANTIC CITY
State: NJ
PostalCode: 084016713
CountryCode: US
TelephoneNumber: 6094418127
FaxNumber: 6094418021
Other Information
ProviderEnumerationDate: 07/16/2007
LastUpdateDate: 01/31/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PE0004X25MB08773200NJY Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
207R00000X25MB08773200NJN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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