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Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Active
Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
401 SHORE RD, SOMERS POINT, NJ 08244-2630
(609) 927-4894
Mailing address
50 S 16TH ST FL 17, PHILADELPHIA, PA 19102-3530
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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