# COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC

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

## Provider details

- **NPI number:** 1215076237
- **Authorized official:** DR. ELENA KATHLEEN WELLENS D.P.M. (OWNER)
- **Authorized official phone:** (856) 768-7850

## Contact information

- **Practice address:** 277 WHITE HORSE PIKE, SUITE 101, ATCO, NJ 08004
- **Practice address phone:** (856) 768-7850
- **Practice address fax:** (856) 768-7853
- **Mailing address:** PO BOX 8893, TURNERSVILLE, NJ 08012-8893
- **Mailing address phone:** (856) 768-7850
- **Mailing address fax:** (856) 768-7853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00274600 | NJ | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 12/31/2012