Organization
FOOT HEALTH CENTERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE VASQUEZ (OFFICE MANAGER)
(856) 795-1003
Entity
Organization
Contact information
Practice address
175 CROSS KEYS RD, SUITE 204, BERLIN, NJ 08009-9263
(856) 768-6693
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421600000
AMERIHEALTH
NJ
01
—
1067235
HORIZON NJ HEALTH
NJ
05
—
2808307
—
NJ
Enumeration date
08/18/2006
Last updated
08/21/2012
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