# FOOT AND ANKLE CARE OF PASSAIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114089679
- **Authorized official:** DR. SEAN D ROSENBLUM DPM (PRESIDENT)
- **Authorized official phone:** (973) 246-9420

## Contact information

- **Practice address:** 393 TERHUNE AVE, PASSAIC, NJ 07055-2448
- **Practice address phone:** (973) 246-9420
- **Practice address fax:** (718) 261-4220
- **Mailing address:** 393 TERHUNE AVE, PASSAIC, NJ 07055-2448
- **Mailing address phone:** (973) 246-9420
- **Mailing address fax:** (718) 931-9324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00278900 | NJ | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 09/05/2012