Provider Demographics
NPI:1912161225
Name:KESLER PODIATRY P C
Entity Type:Organization
Organization Name:KESLER PODIATRY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KESLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:973-835-8350
Mailing Address - Street 1:601 HAMBURG TPKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2048
Mailing Address - Country:US
Mailing Address - Phone:973-835-8350
Mailing Address - Fax:973-835-8340
Practice Address - Street 1:601 HAMBURG TPKE
Practice Address - Street 2:SUITE 100
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2048
Practice Address - Country:US
Practice Address - Phone:973-835-8350
Practice Address - Fax:973-835-8340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00286800213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ146916OtherMEDICARE
NJ146916OtherMEDICARE