# JACKSON CENTER FOR FOOT AND ANKLE MEDICINE,LLC

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

## Provider details

- **NPI number:** 1609047372
- **Authorized official:** DR. KEITH ROSENTHAL DPM (OWNER,PODIATRIST)
- **Authorized official phone:** (732) 833-2800

## Contact information

- **Practice address:** 180 N COUNTY LINE RD, JACKSON, NJ 08527-4421
- **Practice address phone:** (732) 833-2800
- **Mailing address:** 180 N COUNTY LINE RD, JACKSON, NJ 08527-4421
- **Mailing address phone:** (732) 833-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | MD2403 | NJ | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 04/11/2008
