Organization Name: | NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
NPI Number: | 1013346790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAL ORNSTEIN (PRESIDENT) |
Mailing Address: | 1130 Blackwood Clementon Rd Pine Hill |
State: | NJ US |
Postal Code: | 080216966 |
Phone Number: | 8567833366 |
Fax Number: | 8567821648 |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |