| Organization Name: | JOSE PAUL LOOR DPM LLC |
| NPI Number: | 1508201658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE PAUL LOOR (CEO/PRESIDENT) |
| Mailing Address: | 163 Burlington Path Rd Suite K Cream Ridge |
| State: | NJ US |
| Postal Code: | 085141622 |
| Phone Number: | 3475957569 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00316400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |