Doctor Name: | JOEL MARK LERNER |
NPI Number: | 1073540001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 25MD00171700 |
Business Practice Address: | 2333 Morris Ave Ste A214 Union, NJ - 070835715 |
Business Phone Number: | 9086882111 |
Business Fax Number: | 9086867382 |
Mailing Address: | 2333 Morris Ave Ste A214, UNION |
State: | NJ |
Postal Code: | 070835715 |
Phone Number: | 9086882111 |
Fax Number: | 9086867382 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00171700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |