Organization · Type 2 NPI

Coastal Foot & Ankle, LLC

Foot & Ankle Surgery Podiatrist · Manahawkin, NJ

NPI number 1730300856 Active

Practice location

1100 Route 72 W, Suite 307
Manahawkin, NJ 08050-2468

Fax (609) 597-6789

Mailing address

1100 Route 72 West, Suite 307
Manahawkin, NJ 08050

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X25MD00277600 (NJ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1730300856

Coastal Foot & Ankle, LLC's National Provider Identifier is 1730300856, issued on May 2, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Manahawkin, NJ. The record was last updated on Jan 30, 2008.