Healthcare Provider Details

I. General information

NPI: 1124075643
Provider Name (Legal Business Name): ALAN D. BUDMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2006
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E SOMERDALE RD
SOMERDALE NJ
08083-1107
US

IV. Provider business mailing address

301 E SOMERDALE RD
SOMERDALE NJ
08083-1107
US

V. Phone/Fax

Practice location:
  • Phone: 856-783-2800
  • Fax: 856-783-7669
Mailing address:
  • Phone: 856-783-2800
  • Fax: 856-783-7669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN D BUDMAN
Title or Position: OWNER
Credential: D.P.M.
Phone: 856-783-2800