Organization · Type 2 NPI
Proactive Foot and Ankle
Foot Surgery Podiatrist · Emerson, NJ
NPI number
1962985770
Active
Practice location
466 Old Hook Rd Ste 24D
Emerson, NJ 07630-1368
Mailing address
74 Pascack Rd Ste 6
Park Ridge, NJ 07656-1942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | None listed |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot surgery podiatrist providers in Emerson
About NPI 1962985770
Proactive Foot and Ankle's National Provider Identifier is 1962985770, issued on Sep 9, 2018. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Emerson, NJ. The record was last updated on Sep 9, 2018.