Organization
METRO MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDIDI UFONDU DPM (DIRECTOR)
(201) 435-5500
Entity
Organization
Contact information
Practice address
434 WESTSIDE AVE, STE. A, JERSEY CITY, NJ 07304
(201) 435-5500
Mailing address
PO BOX 1093, EDISON, NJ 08818-1093
(201) 435-5500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00296800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134914
MEDICARE PTAN INDIVIDUAL
NJ
01
—
1386805919
NPI INDIVIDUAL
NJ
01
—
191239
MEDICARE PTAN
NJ
Enumeration date
11/23/2010
Last updated
02/28/2011
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