# INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC

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

## Provider details

- **NPI number:** 1679284285
- **Authorized official:** TERESA LEONARDA CIACCIO (PRESIDENT & CHIEF OPERATING OFFICER)
- **Authorized official phone:** (516) 993-8666

## Contact information

- **Practice address:** 523 ROUTE 73N, SUITE 117A, MARLTON, NJ 08053
- **Practice address phone:** (484) 535-3285
- **Practice address fax:** (484) 535-5446
- **Mailing address:** 523 ROUTE 73N, SUITE 117A, MARLTON, NJ 08053
- **Mailing address phone:** (484) 535-3285
- **Mailing address fax:** (484) 535-5446

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2022
- **Last updated:** 12/30/2024
