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Organization
PROGRESSIVE PODIATRY OF NORTH JERSEY
Active
Organization
PROGRESSIVE PODIATRY OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE JEANETTE GEHEGAN DPM (SOLE OWNER)
(201) 840-7373
Entity
Organization
Contact information
Practice address
725 RIVER RD, SUITE 201-A, EDGEWATER, NJ 07020-1171
(201) 840-7373
(201) 840-7383
Mailing address
725 RIVER RD, SUITE 201-A, EDGEWATER, NJ 07020-1171
(201) 840-7373
(201) 840-7383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00272100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508050139
NPI
—
01
—
6481920001
MEDICARE/CMS DME (PTAN)
NJ
Enumeration date
08/27/2007
Last updated
04/22/2011
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