Organization
TOTAL CARE FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DONOVAN DPM (OWNER)
(732) 814-7029
Entity
Organization
Contact information
Practice address
9 MOUNT BETHEL RD STE 209, WARREN, NJ 07059-5603
(908) 605-0799
(908) 450-1558
Mailing address
9 MOUNT BETHEL RD STE 209, WARREN, NJ 07059-5603
(908) 605-0799
(908) 450-1558
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231622
—
NJ
Enumeration date
10/25/2021
Last updated
08/25/2022
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