Organization
GREAT FALLS FOOT & ANKLE CENTER, P.A.
Active
Other names
Great Falls Foot & Ankle Center, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE C STABILE DPM (OWNER)
(973) 881-1115
Entity
Organization
Contact information
Practice address
21 MILL ST STE 3, PATERSON, NJ 07501-1886
(973) 881-1115
(973) 881-8686
Mailing address
21 MILL ST, SUITE 3, PATERSON, NJ 07501-1886
(973) 881-1115
(973) 881-8686
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00236400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006501
—
NJ
Enumeration date
02/01/2008
Last updated
06/20/2019
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