NPI 1003811019

Philip Joseph Obiedzinski, DPM

Practitioner Foot & Ankle Surgery Podiatrist Rutherford, NJ

Practice location

Address: 50 Orient Way, Rutherford, NJ 07070-2036
Phone: (201) 939-2774
Fax: (201) 935-6812

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 25MD00126000 (NJ)

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Registry record

NPI: 1003811019
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2005
Record last updated: 8 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.