Doctor Name: | DR. MICHAEL PATRICK FLATLEY |
NPI Number: | 1588603518 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00268300 |
Business Practice Address: | 356 Route 44 Swedesboro, NJ - 080854426 |
Business Phone Number: | 8562411872 |
Business Fax Number: | 8562411872 |
Mailing Address: | 356 Route 44, SWEDESBORO |
State: | NJ |
Postal Code: | 080854426 |
Phone Number: | 8562411872 |
Fax Number: | 8562411872 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00268300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |