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Organization
ADVANCED ANKLE AND FOOT CENTER, LLC
Active
Organization
ADVANCED ANKLE AND FOOT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILAYVANH SYSOUNTHONE DPM (OWNER)
(973) 263-5500
Entity
Organization
Contact information
Practice address
1259 US HIGHWAY 46, BUILDING 3, PARSIPPANY, NJ 07054
(973) 263-5500
(201) 590-4907
Mailing address
1259 US HIGHWAY 46, BUILDING 3, PARSIPPANY, NJ 07054-4913
(973) 263-5500
(201) 590-4907
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
08/15/2018
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