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Individual

PAUL SAKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM PA

Contact information

Practice address
415 AVENEL ST STE B, AVENEL, NJ 07001-1147
(732) 634-4300
(732) 634-4302
Mailing address
415 AVENEL STREET, SUITE B, AVENEL, NJ 07001-1147
(732) 634-4300
(732) 634-4302

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NJ1127
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0856830001
DMERC DME#
NJ
05
10 3017800
NJ
05
3017800
NJ
01
F09909
HEALTHNET
NJ
Enumeration date
07/25/2006
Last updated
07/21/2022
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