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NPI Code Detail

MEDICARE: BERKLEY & KUSHEL PTRS

MEDICARE: BERKLEY & KUSHEL PTRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist25MD01573NJ
2213E00000XPodiatrist25MD001212NJ

General Provider Information

NPI Number : 1063699189
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERKLEY & KUSHEL PTRS
Provider Business Mailing Address
First Line : 2083 KLOCKNER RD
Second Line :
City : HAMILTON SQUARE
State : NJ
Zip : 08690-3415
Country : US
Telephone Number : 609-588-4999
Fax Number : 609-588-8186
Provider Business Practice Location Address
First Line : 2083 KLOCKNER RD
Second Line :
City : HAMILTON SQUARE
State : NJ
Zip : 08690-3415
Country : US
Telephone Number : 609-588-4999
Fax Number : 609-588-8186
Authorized Official
Title or Position : PARTNER
Name : DR. STUART W KUSHEL
Credential : DPM
Telephone Number : 609-588-4999
Provider Enumeration Date : 01/31/2008
Last Update Date : 10/11/2011

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Directions to “BERKLEY & KUSHEL PTRS ” Practice Location

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