Organization
ATLANTIC SHORE PODIATRY,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL GUTMAN D.P.M. (PRESIDENT)
(609) 646-1991
Entity
Organization
Contact information
Practice address
2303 SHORE RD, NORTHFIELD, NJ 08225-2148
(609) 646-1991
(609) 646-7329
Mailing address
20 BURNSIDE DR, EGG HARBOR TOWNSHIP, NJ 08234-6613
(609) 653-4373
(609) 646-7329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2826909
—
NJ
Enumeration date
07/10/2006
Last updated
12/19/2007
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