Dr Howard A Sourifman, DPM | |
314 5th St, Suite #2, Lakewood, NJ 08701-3245 | |
(732) 370-5792 | |
Not Available |
Full Name | Dr Howard A Sourifman |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 314 5th St, Lakewood, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790854115 | NPI | - | NPPES |
2012201 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 25MD00123600 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Howard A Sourifman, DPM 314 5th St, Suite #2, Lakewood, NJ 08701-3245 Ph: (732) 370-5792 | Dr Howard A Sourifman, DPM 314 5th St, Suite #2, Lakewood, NJ 08701-3245 Ph: (732) 370-5792 |
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