Organization
OLD HOOK PODIATRY ASSOC PC
Active
Organization
OLD HOOK PODIATRY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN E DOERNER (BILLING MANAGER)
(201) 391-6731
Entity
Organization
Contact information
Practice address
452 OLD HOOK RD, 2ND FL, EMERSON, NJ 07630-1381
(201) 599-1336
(201) 599-1386
Mailing address
452 OLD HOOK RD, 2ND FL, EMERSON, NJ 07630-1381
(201) 599-1336
(201) 599-1386
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00273200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075902
MEDICARE GROUP PIN
NJ
Enumeration date
11/13/2006
Last updated
08/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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