# ADVANCED FEET AND ANKLE CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** advanced feet and ankle care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588187439
- **Authorized official:** JASON GROSSMAN DPM (PODIATRIST)
- **Authorized official phone:** (732) 679-4330

## Contact information

- **Practice address:** 99 OLD MATAWAN ROAD, OLD BRIDGE, NJ 08857-1420
- **Practice address phone:** (732) 679-4330
- **Practice address fax:** (732) 679-4777
- **Mailing address:** 99 OLD MATAWAN RD., OLD BRIDGE, NJ 08857-1420
- **Mailing address phone:** (732) 679-4330
- **Mailing address fax:** (732) 679-4777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MD00268400 | NJ | Yes |

## Other

- **Enumeration date:** 07/24/2017
- **Last updated:** 10/28/2022
