Provider Demographics
NPI:1609953439
Name:AMER, ADEL MUHAMMAD (MD)
Entity type:Individual
Prefix:MR
First Name:ADEL
Middle Name:MUHAMMAD
Last Name:AMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ADEL
Other - Middle Name:M
Other - Last Name:AMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:30 BROADACRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054
Mailing Address - Country:US
Mailing Address - Phone:609-567-0608
Mailing Address - Fax:609-567-1295
Practice Address - Street 1:2003 LIBERTY PLACE
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081
Practice Address - Country:US
Practice Address - Phone:856-404-9234
Practice Address - Fax:856-513-6419
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA063447173000000X
NJ25MA063447002084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7197900Medicaid