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Organization
ADVANCED FOOT CARE CENTER, LLC
Active
Organization
ADVANCED FOOT CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ANTHONY MEGARA III DPM (MANAGING MEMEBER)
(856) 579-8674
Entity
Organization
Contact information
Practice address
204 GROVE AVE, SUITE G, THOROFARE, NJ 08086-2557
(856) 579-8674
(856) 579-8676
Mailing address
204 GROVE AVE, SUITE G, THOROFARE, NJ 08086-2557
(856) 579-8674
(856) 579-8676
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00273100
NJ
Other
Enumeration date
01/05/2011
Last updated
10/17/2012
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