Organization Name: | AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT |
NPI Number: | 1013188507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDY CHAUSER (ADMINSTRATOR) |
Mailing Address: | 1250 E Hallandale Beach Blvd Suite 805 Hallandale Beach |
State: | FL US |
Postal Code: | 330094634 |
Phone Number: | 8669551117 |
Fax Number: | 9544557933 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |