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Organization
NEW JERSEY FOOT AND ANKLE
Active
Organization
NEW JERSEY FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA A HAUPTMAN D.P.M. (CEO)
(973) 966-1200
Entity
Organization
Contact information
Practice address
256 COLUMBIA TPKE, SUITE 203, FLORHAM PARK, NJ 07932-1209
(973) 966-1200
Mailing address
256 COLUMBIA TPKE, SUITE 203, FLORHAM PARK, NJ 07932-1209
(973) 966-1200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD001125
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD001125
NJ
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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