Doctor Name: | DR. DOUGLAS STUART LYNCH |
NPI Number: | 1043439599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | MD00268600 |
Business Practice Address: | 124 Sherwood Dr Freehold, NJ - 077281328 |
Business Phone Number: | 7323331117 |
Business Fax Number: | 7328454671 |
Mailing Address: | 124 Sherwood Dr, FREEHOLD |
State: | NJ |
Postal Code: | 077281328 |
Phone Number: | 7323331117 |
Fax Number: | 7328454671 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 09/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | MD00268600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |