Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25MD00204300 | NJ |
N | 222Z00000X | Podiatrist | 25MD00204300 | NJ |
Y | 213EP1101X | Primary Podiatric Medicine | 25MD00204300 | NJ |
N | 213ES0131X | Foot Surgery | 25MD00204300 | NJ |
NPI | 1306821509 |
---|---|
Provider Name | Richard E Filipek |
First Address | Garfield, NJ 07026-2060 |
Second Address | Garfield, NJ 07026-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 18/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U20476 | (02) | NJ |