Organization
FUSFIELD PODIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. FUSFIELD D.P.M. (PRESIDENT)
(609) 267-2693
Entity
Organization
Contact information
Practice address
516 HIGH ST, UNIT 11, MOUNT HOLLY, NJ 08060-1026
(609) 267-2693
(609) 267-5415
Mailing address
516 HIGH ST, UNIT 11, MOUNT HOLLY, NJ 08060-1026
(609) 267-2693
(609) 267-5415
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00108400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081213
—
NJ
Enumeration date
05/20/2006
Last updated
08/22/2020
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