Basic Information
| Provider Information | |||||||||
| NPI: | 1972068575 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KATHRYN STOEDTER, DPM, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 277 WHITE HORSE PIKE STE 101 | ||||||||
| Address2: | |||||||||
| City: | ATCO | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080042275 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2301 E EVESHAM RD STE 508 | ||||||||
| Address2: | |||||||||
| City: | VOORHEES | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080434506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003218293 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2019 | ||||||||
| LastUpdateDate: | 02/07/2019 | ||||||||
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| AuthorizedOfficialLastName: | STOEDTER | ||||||||
| AuthorizedOfficialFirstName: | KATHRYN | ||||||||
| AuthorizedOfficialMiddleName: | ELIZABETH | ||||||||
| AuthorizedOfficialTitleorPosition: | DPM/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8562345180 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.