Iezzi, Alfred J

Iezzi, Alfred J is an individual health care provider with primary practice located at 4503 Atlantic Ave , Atlantic City NJ 08401-5733. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Iezzi, Alfred J can be contacted via phone (609) 344-3900.

Contact Information

Primary practice address
4503 Atlantic Ave Atlantic City NJ 08401-5733
Phone: (609) 344-3900
Fax: (609) 344-8512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X MD01211 New Jersey

Profile Details

NPI number 1679643340
LBN Legal business name Iezzi, Alfred J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jun 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679643340 NPPES
New Jersey MEDICAID 2263009
New Jersey Other 575928YK6M

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