Fairlawn Podiatry Group Pa

NPI 1710043740 - Podiatrist - 213E00000X

NPI Details
NPI 1710043740
Enumeration Date 12/27/2006
Last Updated 08/06/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BORIS BORIS
Position CO OWNER
Phone (201) 797-3310
Fax (201) 797-1977
Practice Location
24-20 BROADWAY
SUITE 4
FAIR LAWN NJ, 07410-3065, US
Phone (201) 797-3310
Fax (201) 797-1977
Business Location
24-20 BROADWAY
SUITE 4
FAIR LAWN NJ, 07410-3065, US
Phone (201) 797-3310
Fax (201) 797-1977
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
Remove 1710043740 NPI Number
 

According to our database, Fairlawn Podiatry Group Pa NPI is 1710043740, taxonomy code is 213E00000X Fairlawn Podiatry Group Pa physically located at 24-20 Broadway, Fair Lawn NJ, 07410-3065. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1710043740 NPI number is provided on an as is basis without warranty of any kind. 1710043740 is maintained by the National Plan & Provider Enumeration System. The contents of Fairlawn Podiatry Group Pa are for informational purposes only.