Organization · Type 2 NPI
Podiatric Foot and Ankle Surgeon, LLC
Podiatric Clinic/Center · Hackensack, NJ
NPI number
1871739607
Active
Practice location
380 Sutton Ave
Hackensack, NJ 07601-1829
Fax (201) 488-8646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 25MD00293300 (NJ) |
Podiatric Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1871739607
Podiatric Foot and Ankle Surgeon, LLC's National Provider Identifier is 1871739607, issued on Dec 29, 2008. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Hackensack, NJ. The record was last updated on Dec 30, 2008.