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Organization

FOOT & ANKLE THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD I HARRIS D.P.M. (PRESIDENT)
(201) 488-5050
Entity
Organization

Contact information

Practice address
SUITE 803, 20 PROSPECT AVENUE, HACKENSACK, NJ 07601-1999
(201) 488-5050
(201) 488-9292
Mailing address
SUITE 803, 20 PROSPECT AVENUE, HACKENSACK, NJ 07601-1999
(201) 488-5050
(201) 488-9292

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
NJ

Other

Enumeration date
12/26/2006
Last updated
01/09/2021
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