Individual
JEFFREY THOMAS KNEMOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470-2033
(973) 925-4111
(973) 925-7711
Mailing address
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470-2033
(973) 925-4111
(732) 873-9114
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N0057841
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00230600
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
MD02306
NJ
Other
Enumeration date
03/08/2007
Last updated
07/25/2024
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