Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 25MD00131100 | NJ |
Y | 213ES0131X | Foot Surgery | 25MD00131100 | NJ |
NPI | 1215930045 |
---|---|
Provider Name | Alan G Shier |
First Address | Bridgewater, NJ 08807-1746 |
Second Address | Little Falls, NJ 07424-1637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 14/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T44759 | (02) | NJ |