Individual
CARL M INGRASSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
519 NEW BRUNSWICK AVE, FORDS, NJ 08863-2131
(732) 738-4441
(732) 738-8554
Mailing address
519 NEW BRUNSWICK AVE, FORDS, NJ 08863-2131
(732) 738-4441
(732) 738-8554
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00215200
NJ
213E00000X
Podiatrist
N0049741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6192505
—
NJ
Enumeration date
09/08/2006
Last updated
10/24/2007
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