Provider Demographics
NPI:1871584029
Name:LOVERME, PAUL J (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:LOVERME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1366
Mailing Address - Country:US
Mailing Address - Phone:973-857-9499
Mailing Address - Fax:973-857-9453
Practice Address - Street 1:825 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1366
Practice Address - Country:US
Practice Address - Phone:973-857-9499
Practice Address - Fax:973-857-9453
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA36452174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJLO156200Medicare ID - Type Unspecified
NJC60808Medicare UPIN