Organization
JERSEY SHORE PODIATRY ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E POPLAWSKI (DPM)
(732) 557-6336
Entity
Organization
Contact information
Practice address
600 MULE RD, SUITE 3, TOMS RIVER, NJ 08757
(732) 557-6336
Mailing address
600 MULE ROAD, SUITE 3, TOMS RIVER, NJ 08757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00244300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077858
—
NJ
01
—
P3236068
HORIZON
NJ
Enumeration date
05/10/2007
Last updated
01/31/2008
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