Organization
LAKEWOOD FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MICHAEL AUFSEESER (DPM)
(732) 367-5151
Entity
Organization
Contact information
Practice address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-5151
Mailing address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00332400
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/09/2018
Last updated
03/08/2018
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