Dr. Philip Joseph Obiedzinski
Foot & Ankle Surgery
50 Orient Way
Rutherford
, New Jersey 07070-2036
Dr. Philip Joseph Obiedzinski
Foot & Ankle Surgery
50 Orient Way
Rutherford
, New Jersey 07070-2036
(201) 935-6812
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Philip Joseph Obiedzinski
- 50 Orient Way
- Rutherford, NJ
- Zip : 07070-2036
- Fax : (201) 935-6812
- Phone : (201) 939-2774
Second Address
- Dr. Philip Joseph Obiedzinski
- 50 Orient Way
- Rutherford, NJ
- Zip : 07070-2036
- Fax : (201) 935-6812
- Phone : (201) 939-2774
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Is Dr. Philip Joseph Obiedzinski a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 25MD00126000 | NJ |
National Provider Identifier
| NPI | 1003811019 |
|---|---|
| Provider Name | Dr. Philip Joseph Obiedzinski |
| First Address | Rutherford, NJ 07070-2036 |
| Second Address | Rutherford, NJ 07070-2036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 08/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T45130 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.