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Provider Information for 1124282736



NICOLE KAISER DPM

Gender: FEMALE

Individual NPI: 1124282736

Calendar Last Updated: 2011-10-13

Details

Name Value
NPI 1124282736
Enumeration Date 2008-07-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 8008 ROUTE 130 SUITE 310
DELRAN, NJ 08075-1869
United States

Phone: 856-393-8771 | Fax: 856-363-8767
View Map External Link
Primary Practice Address 8008 ROUTE 130 SUITE 310
DELRAN, NJ 08075-1869
United States

Phone: 856-393-8771 | Fax: 856-393-8767
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 213ES0103X - Podiatrist Foot & Ankle Surgery NJ 25MD00300900
No 213ES0103X - Podiatrist Foot & Ankle Surgery PA SC005944
Other Identifiers
Issuer State Number