Organization
FOOT & ANKLE SURGICAL ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANNI PERSICH DPM (MANAGING PARTNER)
(718) 728-3334
Entity
Organization
Contact information
Practice address
54 S DEAN STREET, ENGLEWOOD, NJ 07631
(718) 728-3334
(718) 777-3180
Mailing address
54 S DEAN STREET, ENGLEWOOD, NJ 07631
(718) 728-3334
(718) 777-3180
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD00304200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360874
—
NY
Enumeration date
06/01/2011
Last updated
06/01/2011
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