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Organization
EVOLVE FOOT AND ANKLE
Active
Organization
EVOLVE FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URWAH HAQ DPM (PHYSICIAN)
(856) 422-2323
Entity
Organization
Contact information
Practice address
1529 ROUTE 206 STE L, TABERNACLE, NJ 08088-8801
(856) 422-2323
(856) 872-4544
Mailing address
PO BOX 468, MARLTON, NJ 08053-0468
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00336100
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
05/24/2017
Last updated
03/17/2018
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