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Organization
JERSEY SHORE PODIATRIC ASSOCIATES, PA
Active
Organization
JERSEY SHORE PODIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE KREIGHBAUM (REGIONAL CREDENTIALING SPECIALIST)
(314) 909-1920
Entity
Organization
Contact information
Practice address
2130 HIGHWAY 35 STE 312, SEA GIRT, NJ 08750-1011
(732) 974-8200
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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