Glenn A Davison Dpm Pa

LBN: Advanced Podiatry Pa
Glenn A Davison Dpm Pa is an health care organization with primary practice located at 1308 Morris Avenue Suite 104, Union NJ 07083-3331. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Advanced Podiatry Pa can be contacted via phone (908) 688-5577, or through Davison, Glenn A via phone (908) 688-5577.

Contact Information

Primary practice address
1308 Morris Avenue Suite 104 Union NJ 07083-3331
Phone: (908) 688-5577
Fax: (908) 688-2755
Website:
Map and Directions
Authorized official contact:
Name: Davison, Glenn A Doctor of Podiatric Medicine (DPM)
Phone: (908) 688-5577

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00196300 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00257000 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N0046131 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N006069 New York

Profile Details

NPI number 1154430411
LBN Legal business name Advanced Podiatry Pa
DBA Doing business as Glenn A Davison Dpm Pa
Authorized official Davison, Glenn A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 7th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154430411 NPPES
Other 985507 AMERIHEALTH
Other 0859237000 AMERIHEALTH
Other 1138221 AMERIHEALTH
MEDICAID 8261903 AMERIHEALTH

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