Individual
DR. ALFRED J IEZZI JR.
Active
Individual
DR. ALFRED J IEZZI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
Update your record
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