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Contact Information

GLENN M AUFSEESER, DPM
1700 MADISON AVE
LAKEWOOD TOWNSHIP, NJ08701-1253
 Phone: 732-367-5151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GLENN M AUFSEESER · (Male)

NPI # 1558590299
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/02/2009
Last updated 06/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00332400
  • PA License # SC006104
Hospital affiliation(s)
  • KIMBALL MEDICAL CENTER - (Acute Care)
    600 RIVER AVE
    LAKEWOOD, NJ 08701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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