# TOMS RIVER PODIATRIST

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

## Provider details

- **NPI number:** 1629732086
- **Authorized official:** KENNETH DONOVAN DPM (OWNER)
- **Authorized official phone:** (732) 814-7029

## Contact information

- **Practice address:** 104 COMMONS WAY BLDG A, TOMS RIVER, NJ 08755-6426
- **Practice address phone:** (732) 349-1123
- **Practice address fax:** (732) 349-6549
- **Mailing address:** 104 COMMONS WAY BLDG A, TOMS RIVER, NJ 08755-6426
- **Mailing address phone:** (732) 349-1123
- **Mailing address fax:** (732) 349-6549

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2021
- **Last updated:** 10/25/2021