Provider Demographics
NPI:1407261472
Name:BRESS, ALLYSON (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:
Last Name:BRESS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 GROVE AVE STE G
Mailing Address - Street 2:
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08086-2557
Mailing Address - Country:US
Mailing Address - Phone:856-579-8674
Mailing Address - Fax:856-579-8676
Practice Address - Street 1:204 GROVE AVE STE G
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08086-2557
Practice Address - Country:US
Practice Address - Phone:856-579-8674
Practice Address - Fax:856-579-8676
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE1-0000239213ES0103X
PASC006542213ES0103X
NJ25MD00338200213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery