Organization · Type 2 NPI
Premier Podiatry, L.l.c.
Foot & Ankle Surgery Podiatrist · Wayne, NJ
NPI number
1417524224
Active
Practice location
502 Hamburg Tpke Ste 105
Wayne, NJ 07470-8446
Fax (866) 756-0438
Mailing address
925 Clifton Ave Ste 108
Clifton, NJ 07013-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1417524224
Premier Podiatry, L.l.c.'s National Provider Identifier is 1417524224, issued on Jun 9, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Wayne, NJ. The record was last updated on Jan 29, 2025.