Provider Demographics
NPI:1538291455
Name:HOLZAPFEL, JOSEPH A (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:HOLZAPFEL
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 1:663 PALISADE AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010
Mailing Address - Country:US
Mailing Address - Phone:201-943-4409
Mailing Address - Fax:201-941-6635
Practice Address - Street 1:663 PALISADE AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010
Practice Address - Country:US
Practice Address - Phone:201-943-4409
Practice Address - Fax:201-941-6635
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD001859213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT51466Medicare UPIN
NJ542392Medicare ID - Type Unspecified