Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | MD1144 | NJ |
Y | 222Z00000X | Podiatrist | MD1144 | NJ |
NPI | 1013004415 |
---|---|
Provider Name | Dennis L Turner |
First Address | Rahway, NJ 07065-2538 |
Second Address | Rahway, NJ 07065-2538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 13/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0691870001 | MEDICARE NSC (01) | NJ |
A1954407 | (05) | NJ |
T83041 | (02) |