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Organization

JERSEY SHORE PODIATRIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENE S MIRKIN DPM (OWNER/PRESIDENT)
(410) 266-7575
Entity
Organization

Contact information

Practice address
2130 HIGHWAY 35, BLDG C STE 312, SEA GIRT, NJ 08750-1010
(732) 974-8200
(732) 974-0190
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(732) 974-8200
(732) 974-0190

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD2271
NJ
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1130013
NJ
Enumeration date
07/06/2006
Last updated
07/29/2025
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