Provider Demographics
NPI:1356491377
Name:SLOTTER, WILLIAM (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SLOTTER
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 1:491 AMWELL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-8212
Mailing Address - Country:US
Mailing Address - Phone:908-359-0137
Mailing Address - Fax:908-359-0297
Practice Address - Street 1:491 AMWELL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-8212
Practice Address - Country:US
Practice Address - Phone:908-359-0137
Practice Address - Fax:908-359-0297
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00274800213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ069272 TJWMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE ID#
NJU95049Medicare UPIN
NJ086683Medicare ID - Type UnspecifiedGROUP MEDICARE ID#