Organization
ADVANCED ANKLE AND FOOT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILAYVANH SYSOUNTHONE DPM (OWNER)
(973) 263-5500
Entity
Organization
Contact information
Practice address
1259 US HIGHWAY 46, BUILDING 3, PARSIPPANY, NJ 07054
(973) 263-5500
(201) 590-4907
Mailing address
1259 US HIGHWAY 46, BUILDING 3, PARSIPPANY, NJ 07054-4913
(973) 263-5500
(201) 590-4907
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
08/15/2018
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