Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
222 NEW RD STE 205, LINWOOD, NJ 08221-1281
(609) 653-2066
Mailing address
50 S 16TH ST, PHILADELPHIA, PA 19102-2516
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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