Organization Name: | BRIAN J SCHULTZ, D.P.M. , P.A. |
NPI Number: | 1144326448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN JEFFREY SCHULTZ (PODIATRIST) |
Mailing Address: | 2110 W County Line Rd Building 1 Jackson |
State: | NJ US |
Postal Code: | 085272049 |
Phone Number: | 7323676611 |
Fax Number: | 7328866702 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 25MD00263800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |