# MIDDLETOWN FOOT & ANKLE LLC

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

## Provider details

- **NPI number:** 1750147047
- **Authorized official:** MITHUN SIVADASAN (PODIATRIST)
- **Authorized official phone:** (732) 790-5599

## Contact information

- **Practice address:** 1650 STATE ROUTE 35 STE 4, MIDDLETOWN, NJ 07748-1865
- **Practice address phone:** (732) 790-5599
- **Practice address fax:** (732) 790-8445
- **Mailing address:** 1650 STATE ROUTE 35 STE 4, MIDDLETOWN, NJ 07748-1865
- **Mailing address phone:** (732) 790-5599

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 07/23/2025