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Organization
ADVANTAGE FOOT AND ANKLE CENTER PA
Active
Organization
ADVANTAGE FOOT AND ANKLE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW BELL DPM (OWNER)
(302) 994-5275
Entity
Organization
Contact information
Practice address
1 CENTURIAN DR, SUITE 101, NEWARK, DE 19713-2137
(302) 994-5275
(302) 994-1794
Mailing address
1 CENTURIAN DR, SUITE 101, NEWARK, DE 19713-2137
(302) 994-5275
(302) 994-1794
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EI0000152
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001143617
—
DE
Enumeration date
06/17/2006
Last updated
09/20/2011
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