Organization
JACKSON FAMILY FOOT & ANKLE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BLAKESLEE DPM (OWNER)
(732) 833-6888
Entity
Organization
Contact information
Practice address
100 W VETERANS HWY, SUITE 11, JACKSON, NJ 08527-3435
(732) 833-6888
(732) 833-6280
Mailing address
100 W VETERANS HWY, SUITE 11, JACKSON, NJ 08527-3435
(732) 833-6888
(732) 833-6280
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00263900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9052801
—
NJ
Enumeration date
07/12/2007
Last updated
12/10/2010
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