# PREMIER FOOT AND ANKLE GROUP PC

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

## Provider details

- **NPI number:** 1376750174
- **Authorized official:** DR. PETER LEVINE DPM (PARTNER)
- **Authorized official phone:** (973) 669-8600

## Contact information

- **Practice address:** 1500 PLEASANT VALLEY WAY, SUITE 201, WEST ORANGE, NJ 07052-2956
- **Practice address phone:** (973) 669-8600
- **Practice address fax:** (973) 669-8699
- **Mailing address:** 1500 PLEASANT VALLEY WAY, SUITE 201, WEST ORANGE, NJ 07052-2956
- **Mailing address phone:** (973) 669-8600
- **Mailing address fax:** (973) 669-8699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00288100 | NJ | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020