Individual provider · Type 1 NPI
Alan Edward Augdahl
Foot & Ankle Surgery Podiatrist · Livingston, NJ
NPI number
1700620374
Active
Practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
200 Boyden Ave Apt 237
Maplewood, NJ 07040-2578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | F556043918516 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1700620374
Alan Edward Augdahl's National Provider Identifier is 1700620374, issued on Jun 19, 2024. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Livingston, NJ. The record was last updated on Jun 19, 2024.