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Contact Information

JERSEY SHORE PODIATRY ,LLC
600 MULE RD
SUITE 3
TOMS RIVER, NJ08757
 Phone: 732-557-6336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JERSEY SHORE PODIATRY ,LLC

NPI Number 1497969224
LBN Legal business name JERSEY SHORE PODIATRY ,LLC
Authorized official MARK POPLAWSKI - (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 01/31/2008 - About 18 years ago
Identifiers
NJ License # 25MD00244300
NJ Medicaid 0077858
NJ Other P3236068 HORIZON
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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