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Organization
DIABETIC FOOT & ANKLE CENTERS OF NJ LLC
Active
Organization
DIABETIC FOOT & ANKLE CENTERS OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON BECKER DPM (DOCTOR)
(973) 736-4030
Entity
Organization
Contact information
Practice address
667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
(973) 736-4030
Mailing address
667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
(973) 736-4030
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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