Organization
COMPREHENSIVE FAMILY FOOT CARE, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA GILLESPIE (OFFICE MANAGER)
(201) 818-9114
Entity
Organization
Contact information
Practice address
400 FRANKLIN TPKE STE 202, MAHWAH, NJ 07430-3516
(201) 818-9114
(201) 934-8223
Mailing address
400 FRANKLIN TPKE STE 202, MAHWAH, NJ 07430-3516
(201) 818-9114
(201) 934-8223
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00180700
NJ
Other
Enumeration date
10/04/2007
Last updated
04/13/2020
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