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Organization
FOOT AND ANKLE CENTER OF NEW JERSEY LLC
Active
Organization
FOOT AND ANKLE CENTER OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MANNIX (OFFICE MANAGER)
(908) 755-5545
Entity
Organization
Contact information
Practice address
1024 PARK AVE, SUITE 3, PLAINFIELD, NJ 07060-3026
(908) 755-5545
(908) 755-6065
Mailing address
1024 PARK AVE, SUITE 3, PLAINFIELD, NJ 07060-3026
(908) 755-5545
(908) 755-6065
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD00274700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00274800
NJ
Other
Enumeration date
01/11/2007
Last updated
09/09/2014
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