Organization
ADVANTAGE FOOT AND ANKLE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW BELL DPM (OWNER)
(302) 994-5275
Entity
Organization
Contact information
Practice address
1 CENTURIAN DR, SUITE 101, NEWARK, DE 19713-2137
(302) 994-5275
(302) 994-1794
Mailing address
1 CENTURIAN DR, SUITE 101, NEWARK, DE 19713-2137
(302) 994-5275
(302) 994-1794
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EI0000152
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001143617
—
DE
Enumeration date
06/17/2006
Last updated
09/20/2011
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