Individual
DR. ALFRED J IEZZI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4503 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5733
(609) 344-3900
(609) 344-8512
Mailing address
4503 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5733
(609) 344-3900
(609) 344-8512
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD01211
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263009
—
NJ
01
—
575928YK6M
MEDICARE PTAN
NJ
Enumeration date
11/09/2006
Last updated
06/28/2013
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