# DIABETIC FOOT & ANKLE CENTERS OF NJ LLC

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

## Provider details

- **NPI number:** 1669838033
- **Authorized official:** SIMON BECKER DPM (DOCTOR)
- **Authorized official phone:** (973) 736-4030

## Contact information

- **Practice address:** 667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
- **Practice address phone:** (973) 736-4030
- **Mailing address:** 667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
- **Mailing address phone:** (973) 736-4030

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 01/14/2016