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Organization
ADVANCED FEET AND ANKLE CARE
Active
Organization
ADVANCED FEET AND ANKLE CARE
Active
Other names
advanced feet and ankle care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GROSSMAN DPM (PODIATRIST)
(732) 679-4330
Entity
Organization
Contact information
Practice address
99 OLD MATAWAN ROAD, OLD BRIDGE, NJ 08857-1420
(732) 679-4330
(732) 679-4777
Mailing address
99 OLD MATAWAN RD., OLD BRIDGE, NJ 08857-1420
(732) 679-4330
(732) 679-4777
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MD00268400
NJ
Other
Enumeration date
07/24/2017
Last updated
10/28/2022
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