Provider Demographics
NPI:1871513697
Name:MESHULAM, JOEL DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:DAVID
Last Name:MESHULAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 QUARRY LAKE DRIVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209
Mailing Address - Country:US
Mailing Address - Phone:410-998-9955
Mailing Address - Fax:410-998-9961
Practice Address - Street 1:2700 QUARRY LAKE DRIVE
Practice Address - Street 2:SUITE 350
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209
Practice Address - Country:US
Practice Address - Phone:410-998-9955
Practice Address - Fax:410-998-9961
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2022-01-26
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Provider Licenses
StateLicense IDTaxonomies
MDD38675207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE24312Medicare UPIN