Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00171700 | NJ |
NPI | 1073540001 |
---|---|
Provider Name | Joel Mark Lerner |
First Address | Springfield, NJ 07081-1427 |
Second Address | Springfield, NJ 07081-1427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 02/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T45490 | (02) | NJ |