Organization
COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA KATHLEEN WELLENS D.P.M. (OWNER)
(856) 768-7850
Entity
Organization
Contact information
Practice address
277 WHITE HORSE PIKE, SUITE 101, ATCO, NJ 08004
(856) 768-7850
(856) 768-7853
Mailing address
PO BOX 8893, TURNERSVILLE, NJ 08012-8893
(856) 768-7850
(856) 768-7853
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00274600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051756
—
NJ
Enumeration date
02/06/2007
Last updated
12/31/2012
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