Doctor Name: | WAYNE A CHIEPPA |
NPI Number: | 1245230184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00186600 |
Business Practice Address: | 66 Sunset Strip Suite 405 Succasunna, NJ - 078761345 |
Business Phone Number: | 9739272525 |
Business Fax Number: | 9739273249 |
Mailing Address: | 66 Sunset Strip, Suite 405 SUCCASUNNA |
State: | NJ |
Postal Code: | 078761345 |
Phone Number: | 9739272525 |
Fax Number: | 9739273249 |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 01/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00186600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |