# INNOVATIVE FOOT AND ANKLE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Foot and Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861922320
- **Authorized official:** SEAN L. KAUFMAN DPM (OWNER/PROVIDER)
- **Authorized official phone:** (908) 276-6624

## Contact information

- **Practice address:** 119 GROVE ST, MONTCLAIR, NJ 07042-4044
- **Practice address phone:** (973) 783-5101
- **Mailing address:** 528 BOULEVARD, KENILWORTH, NJ 07033-1657

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 09/11/2023