Organization
ADVANCED FEET AND ANKLE CARE
Active
Other names
Advanced Foot and Ankle Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M. GROSSMAN DPM (OWNER)
(732) 679-4330
Entity
Organization
Contact information
Practice address
2477 HIGHWAY 516, OLD BRIDGE, NJ 08857-4603
(732) 679-4330
(732) 679-4777
Mailing address
2477 HIGHWAY 516, OLD BRIDGE, NJ 08857-4603
(732) 679-4330
(732) 679-4777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186350
—
NJ
Enumeration date
01/19/2009
Last updated
08/07/2012
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