Individual
DR. GLENN MICHAEL AUFSEESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-5151
Mailing address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-5151
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00332400
NJ
213E00000X
Podiatrist
SC006104
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006104
PA
213ER0200X
Radiology Podiatrist
SC006104
PA
213ES0000X
Sports Medicine Podiatrist
SC006104
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006104
PA
213ES0131X
Foot Surgery Podiatrist
SC006104
PA
Other
Enumeration date
07/02/2009
Last updated
06/16/2018
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