Individual
ALLEN J ATHERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2211 ROUTE 88 E, BRICK, NJ 08724-3229
(732) 899-0015
(732) 899-0061
Mailing address
2211 ROUTE 88 E, BRICK, NJ 08724-3229
(732) 899-0015
(732) 899-0061
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002045
NJ
213ES0000X
Sports Medicine Podiatrist
MD002045
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
MD002045
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K5454
HEALTHNET
NJ
05
—
5083001
—
NJ
01
—
60006001
HORIZON NJ HEALTH
NJ
01
—
P00139173
RAILROAD
NJ
01
—
VS101
OXFORD
NJ
Enumeration date
02/13/2006
Last updated
05/06/2008
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