Organization
PARAMUS FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL HAGEN DPM (PRESIDENT)
(201) 445-4900
Entity
Organization
Contact information
Practice address
1 W RIDGEWOOD AVE, SUITE G1, PARAMUS, NJ 07652-2359
(201) 445-4900
(201) 568-7567
Mailing address
261 ENGLE ST, TENAFLY, NJ 07670-2138
(201) 568-6977
(201) 568-7567
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD1961
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335213
AETNA ID #
NJ
01
—
6202429
GHI ID#
NJ
01
—
8895263
CIGNA ID#
NJ
01
—
P3630953
OXFORD ID#
NJ
Enumeration date
08/08/2007
Last updated
10/01/2010
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