Doctor Name: | DR. STUART WARREN HONICK |
NPI Number: | 1225013725 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD002280 |
Business Practice Address: | 392 N White Horse Pike Suite 2 Hammonton, NJ - 080371866 |
Business Phone Number: | 6097049001 |
Business Fax Number: | 6097048316 |
Mailing Address: | 392 N White Horse Pike, Suite 2 HAMMONTON |
State: | NJ |
Postal Code: | 080371866 |
Phone Number: | 6097049001 |
Fax Number: | 6097048316 |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD002280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |