Organization
SKYLINE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DONOVAN DPM (PODIATRIST)
(973) 962-7775
Entity
Organization
Contact information
Practice address
52 SKYLINE DR, RINGWOOD, NJ 07456-2020
(631) 804-8897
Mailing address
52 SKYLINE DR, RINGWOOD, NJ 07456-2020
(973) 962-7775
(973) 869-4144
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658219
—
NJ
Enumeration date
06/02/2022
Last updated
09/29/2022
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