Organization
INNOVATIVE FOOT AND ANKLE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN L. KAUFMAN DPM (OWNER/PROVIDER)
(908) 276-6624
Entity
Organization
Contact information
Practice address
877 BROADWAY, BAYONNE, NJ 07002-3197
(201) 436-4287
(201) 436-5794
Mailing address
528 BOULEVARD, KENILWORTH, NJ 07033-1657
(908) 276-6624
(908) 709-0163
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00261900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8719501
—
NJ
Enumeration date
05/08/2017
Last updated
09/11/2023
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