Organization
FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA A TSYGANOVA DPM (PODIATRIST)
(609) 272-1450
Entity
Organization
Contact information
Practice address
3069 ENGLISH CREEK AVE, SUITE 201, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 272-1450
(609) 272-1445
Mailing address
3069 ENGLISH CREEK AVE, SUITE 201, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 272-1450
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
25MD00297800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149173
MEDICARE PTAN
NJ
Enumeration date
12/17/2008
Last updated
05/22/2009
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