| Organization Name: | PODIATRY HOUSE CALLS, LLC |
| NPI Number: | 1497988737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY W. SLEPNER (OWNER) |
| Mailing Address: | 225 N Gladstone Ave Margate City |
| State: | NJ US |
| Postal Code: | 084021705 |
| Phone Number: | 6098229262 |
| Fax Number: | 6092898723 |
| NPI Enumeration Date: | 09/03/2009 |
| NPI Last Update Date: | 09/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 25MD00101000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |