Organization Name: | ASSOCIATES IN PODIATRY PA |
NPI Number: | 1184700809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EILEEN F QUINN (OFFICE MANAGER) |
Mailing Address: | 318 Chestnut St Roselle Park |
State: | NJ US |
Postal Code: | 072041904 |
Phone Number: | 9086875757 |
Fax Number: | 9082411172 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 12/17/2013 |
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: |