# INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC

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

## Provider details

- **NPI number:** 1497511570
- **Authorized official:** TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (516) 993-8666

## Contact information

- **Practice address:** 401 SHORE RD, SOMERS POINT, NJ 08244-2630
- **Practice address phone:** (609) 927-4894
- **Mailing address:** 50 S 16TH ST FL 17, PHILADELPHIA, PA 19102-3530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 02/26/2024