# CENTRAL JERSEY CENTER FOR FOOT & ANKLE SURGERY, LLC

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

## Provider details

- **NPI number:** 1952396335
- **Authorized official:** DR. GEORGE J FAHOURY JR. DPM (OWNER)
- **Authorized official phone:** (732) 741-5500

## Contact information

- **Practice address:** 655 SHREWSBURY AVE, SUITE 207, SHREWSBURY, NJ 07702-4151
- **Practice address phone:** (732) 741-5500
- **Practice address fax:** (732) 741-5560
- **Mailing address:** 655 SHREWSBURY AVE, SUITE 207, SHREWSBURY, NJ 07702-4151
- **Mailing address phone:** (732) 741-5500
- **Mailing address fax:** (732) 741-5560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | MD01290 | NJ | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 06/17/2009