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Organization
ADVANCED FEET AND ANKLE CARE
Active
Organization
ADVANCED FEET AND ANKLE CARE
Active
Other names
Advanced Foot and Ankle Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M. GROSSMAN DPM (OWNER)
(732) 679-4330
Entity
Organization
Contact information
Practice address
2477 HIGHWAY 516, OLD BRIDGE, NJ 08857-4603
(732) 679-4330
(732) 679-4777
Mailing address
2477 HIGHWAY 516, OLD BRIDGE, NJ 08857-4603
(732) 679-4330
(732) 679-4777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186350
—
NJ
Enumeration date
01/19/2009
Last updated
08/07/2012
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