Provider Demographics
NPI:1437243730
Name:SLOMOWITZ, HENRY (DPM)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:SLOMOWITZ
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 1:265 E 33RD STREET
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07504-1520
Mailing Address - Country:US
Mailing Address - Phone:973-684-1011
Mailing Address - Fax:973-684-4534
Practice Address - Street 1:265 E 33RD STREET
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07504-1520
Practice Address - Country:US
Practice Address - Phone:973-684-1011
Practice Address - Fax:973-684-4534
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD01295213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T99638Medicare UPIN
NJ051911Medicare PIN
NJSL542972P44Medicare PIN