Organization
DPMKINGPRNJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KING DPM (OWNER)
(216) 401-7285
Entity
Organization
Contact information
Practice address
1195 HIGHWAY 70, SUITE 12, LAKEWOOD, NJ 08701-5946
(732) 905-7818
Mailing address
6 MOUNTAIN TRL, VERNON, NJ 07462-3012
(216) 401-7285
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00294000
PA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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