Provider Demographics
NPI:1013004415
Name:TURNER, DENNIS L (DPM)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:L
Last Name:TURNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 ST GEORGES AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2538
Mailing Address - Country:US
Mailing Address - Phone:732-388-1803
Mailing Address - Fax:732-388-3908
Practice Address - Street 1:674 ST GEORGES AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2538
Practice Address - Country:US
Practice Address - Phone:732-388-1803
Practice Address - Fax:732-388-3908
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD1144213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0691870001OtherMEDICARE NSC
NJA1954407Medicaid
155148UFOMedicare ID - Type Unspecified
NJA1954407Medicaid