Organization · Type 2 NPI
LDDL Surgical Podiatry Associates
Foot & Ankle Surgery Podiatrist · South Amboy, NJ
NPI number
1629369996
Active
Practice location
20 Vermeer Dr, Apt 11
South Amboy, NJ 08879-2339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00307600 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1629369996
LDDL Surgical Podiatry Associates's National Provider Identifier is 1629369996, issued on Apr 21, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in South Amboy, NJ. The record was last updated on Apr 21, 2011.