Organization
THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE
Active
Other names
The Center for Foot and Ankle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BRIAN ROSENTHAL D.P.M. (OWER/PHYSICIAN)
(732) 833-2800
Entity
Organization
Contact information
Practice address
728 BENNETTS MILLS RD, SUITE 2, JACKSON, NJ 08527
(732) 833-2800
(732) 833-4808
Mailing address
728 BENNETTS MILLS RD, SUITE 2, JACKSON, NJ 08527
(732) 833-2800
(732) 833-4808
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D7323107
—
NJ
Enumeration date
06/24/2014
Last updated
06/24/2014
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