Organization
BRIAN J SCHULTZ, D.P.M. , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JEFFREY SCHULTZ D.P.M. (PODIATRIST)
(732) 367-6611
Entity
Organization
Contact information
Practice address
2110 W COUNTY LINE RD, BUILDING 1, JACKSON, NJ 08527-2049
(732) 367-6611
(732) 886-6702
Mailing address
19 COTTONWOOD DRIVE, JACKSON, NJ 08527
(732) 367-6611
(732) 886-6702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MD00263800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103829
—
NJ
Enumeration date
09/15/2006
Last updated
12/28/2007
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