Provider Demographics
NPI:1194884239
Name:MEHLMAN, KARYL NORCROSS (MD)
Entity type:Individual
Prefix:
First Name:KARYL
Middle Name:NORCROSS
Last Name:MEHLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARYL
Other - Middle Name:A
Other - Last Name:NORCROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7 BOUVANT DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1208
Mailing Address - Country:US
Mailing Address - Phone:609-683-1493
Mailing Address - Fax:609-683-0838
Practice Address - Street 1:7 BOUVANT DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1208
Practice Address - Country:US
Practice Address - Phone:609-683-1493
Practice Address - Fax:609-683-0838
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR-525402084N0400X
TXG40362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC19929Medicare UPIN