Provider Demographics
NPI:1982906723
Name:LOOR, JOSE PAUL (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:PAUL
Last Name:LOOR
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:3607 LEHIGH DR
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-9638
Mailing Address - Country:US
Mailing Address - Phone:347-595-7569
Mailing Address - Fax:516-753-9320
Practice Address - Street 1:315 E 108TH ST APT 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-4233
Practice Address - Country:US
Practice Address - Phone:347-595-7569
Practice Address - Fax:516-753-9320
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006396213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MD00316400OtherPODIATRIST
CT000902OtherPODIATRIST
FLPO3918OtherPODIATRIST
PASC006329OtherPODIATRIST