MEDICARE: WILLIAM SLOTTER DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	25MD00274800	NJ

General Provider Information

NPI Number	:	1356491377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM SLOTTER DPM

Provider Business Mailing Address
First Line	:	491 AMWELL RD
Second Line	:	SUITE 101
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-8212
Country	:	US
Telephone Number	:	908-359-0137
Fax Number	:	908-359-0297

Provider Business Practice Location Address
First Line	:	491 AMWELL RD
Second Line	:	SUITE 101
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-8212
Country	:	US
Telephone Number	:	908-359-0137
Fax Number	:	908-359-0297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	03/21/2012

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