Stacey A Paukovitz, DPM Valid NPI

Individual provider · Foot & Ankle Surgery Podiatrist · Manasquan, NJ

NPI

1285670539

Type

Individual (Type 1)

Primary specialty

Foot & Ankle Surgery Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213ES0103X

License number

25MD00269900 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-22

Last updated

2018-02-20