Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD001054 | NJ |
NPI | 1164410742 |
---|---|
Provider Name | Dr. Leslie S Aufseeser |
First Address | Lakewood, NJ 08701-1253 |
Second Address | Lakewood, NJ 08701-1253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2005 |
Last Update Date | 25/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0911208 | (05) | NJ |
T44824 | (02) | NJ |