Organization
ALLAIRE FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D LARSON DPM (OWNER)
(732) 899-3366
Entity
Organization
Contact information
Practice address
2399 HWY 34, SUITE A6, MANASQUAN, NJ 08736
(732) 528-8223
(732) 528-7057
Mailing address
2159 ROUTE 88 E, BRICK, NJ 08724-3232
(732) 899-3366
(732) 899-1722
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00100900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
03/24/2022
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