Organization
FOOT AND ANKLE CARE OF PASSAIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN D ROSENBLUM DPM (PRESIDENT)
(973) 246-9420
Entity
Organization
Contact information
Practice address
393 TERHUNE AVE, PASSAIC, NJ 07055-2448
(973) 246-9420
(718) 261-4220
Mailing address
393 TERHUNE AVE, PASSAIC, NJ 07055-2448
(973) 246-9420
(718) 931-9324
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00278900
NJ
Other
Enumeration date
12/14/2006
Last updated
09/05/2012
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