Organization
ALLSTAR FOOT & ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLF ZAK DPM (OWNER/MANAGER)
(856) 983-0900
Entity
Organization
Contact information
Practice address
9001 LINCOLN DR W STE G, MARLTON, NJ 08053-3202
(856) 983-0900
(856) 983-0905
Mailing address
9001 LINCOLN DR W STE G, MARLTON, NJ 08053-3202
(856) 983-0900
(856) 983-0905
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00278000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100951
—
NJ
Enumeration date
08/30/2007
Last updated
01/10/2008
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