Doctor Name: | NICOLE KAISER |
NPI Number: | 1124282736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | SC005944 |
Business Practice Address: | 8008 Route 130 Suite 310 Delran, NJ - 080751869 |
Business Phone Number: | 8563938771 |
Business Fax Number: | 8563938767 |
Mailing Address: | 8008 Route 130, Suite 310 DELRAN |
State: | NJ |
Postal Code: | 080751869 |
Phone Number: | 8563938771 |
Fax Number: | 8563638767 |
NPI Enumeration Date: | 07/12/2008 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC005944 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |