Organization
CUMBERLAND FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LANING JESPERSEN DPM (OWNER/PHYSICIAN)
(856) 293-1880
Entity
Organization
Contact information
Practice address
10 E MAIN ST STE B, MILLVILLE, NJ 08332-4293
(856) 293-1880
(856) 293-1889
Mailing address
10 E MAIN ST STE B, MILLVILLE, NJ 08332-4293
(856) 293-1880
(856) 293-1889
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00256400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002003517002
UNITED HEALTHCARE
—
01
—
1165751
HORIZON NJ HEALTH
—
01
—
2341851000
AMERIHEALTH
NJ
01
—
2K1658
HEALTHNET
—
01
—
30634
LOCAL 825
—
01
—
7040196
AETNA
NJ
05
—
8270902
—
NJ
Enumeration date
08/18/2006
Last updated
02/08/2022
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