| Doctor Name: | DR. PHILIP JOSEPH OBIEDZINSKI |
| NPI Number: | 1003811019 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 25MD00126000 |
| Business Practice Address: | 50 Orient Way Rutherford, NJ - 070702036 |
| Business Phone Number: | 2019392774 |
| Business Fax Number: | 2019356812 |
| Mailing Address: | 50 Orient Way, RUTHERFORD |
| State: | NJ |
| Postal Code: | 070702036 |
| Phone Number: | 2019392774 |
| Fax Number: | 2019356812 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 03/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00126000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |