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Organization
CUMBERLAND FOOT AND ANKLE CENTER LLC
Active
Organization
CUMBERLAND FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LANING JESPERSEN DPM (OWNER/PHYSICIAN)
(856) 293-1880
Entity
Organization
Contact information
Practice address
10 E MAIN ST STE B, MILLVILLE, NJ 08332-4293
(856) 293-1880
(856) 293-1889
Mailing address
10 E MAIN ST STE B, MILLVILLE, NJ 08332-4293
(856) 293-1880
(856) 293-1889
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00256400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002003517002
UNITED HEALTHCARE
—
01
—
1165751
HORIZON NJ HEALTH
—
01
—
2341851000
AMERIHEALTH
NJ
01
—
2K1658
HEALTHNET
—
01
—
30634
LOCAL 825
—
01
—
7040196
AETNA
NJ
05
—
8270902
—
NJ
Enumeration date
08/18/2006
Last updated
02/08/2022
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