Provider Demographics
NPI:1255386660
Name:TURSI, FLORENCE D (DPM)
Entity type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:D
Last Name:TURSI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:30 JACKSON RD
Mailing Address - Street 2:SUITE D-3
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9283
Mailing Address - Country:US
Mailing Address - Phone:609-654-6450
Mailing Address - Fax:609-654-6103
Practice Address - Street 1:30 JACKSON RD
Practice Address - Street 2:SUITE D-3
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-9283
Practice Address - Country:US
Practice Address - Phone:609-654-6450
Practice Address - Fax:609-654-6103
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMD01358213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT44931Medicare UPIN
NJ431003Medicare ID - Type UnspecifiedPROVIDER NUMBER
NJ6473650001Medicare NSC