Organization
HAPPY FEET PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNELL PAUL MOORE D.P.M. (MEMBER)
(973) 337-2893
Entity
Organization
Contact information
Practice address
310 CENTRAL AVE STE 303, EAST ORANGE, NJ 07018-2838
(973) 337-2893
(201) 228-1689
Mailing address
310 CENTRAL AVE STE 303, EAST ORANGE, NJ 07018-2838
(973) 337-2893
(201) 228-1689
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00289000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919349
—
NJ
Enumeration date
03/16/2007
Last updated
06/27/2023
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