Organization
AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT
Active
Organization
AMERICAN INSTITUTE FOR SMALL JOINT REPLACEMENT
Active
Other names
Richard Koenig
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY CHAUSER ADMINISTRATOR (ADMINSTRATOR)
(866) 955-1117
Entity
Organization
Contact information
Practice address
1250 E HALLANDALE BEACH BLVD, SUITE 805, HALLANDALE BEACH, FL 33009-4634
(866) 955-1117
(954) 455-7933
Mailing address
1250 E HALLANDALE BEACH BLVD, SUITE 805, HALLANDALE BEACH, FL 33009-4634
(866) 955-1117
(954) 455-7933
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65573
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/12/2008
Last updated
03/12/2008
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