Organization
JR PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN J RAMIREZ DPM (MANAGING MEMBER)
(973) 650-3401
Entity
Organization
Contact information
Practice address
10 BELAIR DR, FAIRFIELD, NJ 07004-1704
(973) 650-3401
Mailing address
10 BELAIR DR, FAIRFIELD, NJ 07004-1704
(973) 650-3401
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0400553437
NJ
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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