# A STEP UP PODIATRY, LLC

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

## Provider details

- **NPI number:** 1821233297
- **Authorized official:** DR. SANJAY PANKAJ GANDHI D.P.M. (OWNER)
- **Authorized official phone:** (732) 446-7136

## Contact information

- **Practice address:** 215 GORDONS CORNER ROAD, 2A, MANALAPAN, NJ 07726
- **Practice address phone:** (732) 446-7136
- **Practice address fax:** (732) 446-7138
- **Mailing address:** 215 GORDONS CORNER ROAD, 2A, MANALAPAN, NJ 07726
- **Mailing address phone:** (732) 446-7136
- **Mailing address fax:** (732) 446-7138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00275700 | NJ | Yes |

## Other

- **Enumeration date:** 12/12/2008
- **Last updated:** 04/08/2009
