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Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Active
Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEONARDA CIACCIO (PRESIDENT & CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
523 ROUTE 73N, SUITE 117A, MARLTON, NJ 08053
(484) 535-3285
(484) 535-5446
Mailing address
523 ROUTE 73N, SUITE 117A, MARLTON, NJ 08053
(484) 535-3285
(484) 535-5446
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/30/2024
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