Organization Name: | DR ALLEN S KIRK |
NPI Number: | 1194122085 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN SCOTT KIRK (DOCTOR) |
Mailing Address: | 1485 Union Valley Rd Ste C West Milford |
State: | NJ US |
Postal Code: | 074801317 |
Phone Number: | 9737282211 |
Fax Number: | 9737282237 |
NPI Enumeration Date: | 11/21/2014 |
NPI Last Update Date: | 03/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | MD01471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |