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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