Organization Name: | WAYNE EPSTEIN |
NPI Number: | 1336324714 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRITT-MARIE EPSTEIN (ADMINISTRATOR) |
Mailing Address: | 1009 Saint Georges Ave Colonia |
State: | NJ US |
Postal Code: | 070674049 |
Phone Number: | 7326362877 |
Fax Number: | 7326367418 |
NPI Enumeration Date: | 01/04/2008 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00199700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |