Organization
METRO MEDICAL SERVICES
Active
Other names
Family Foot and Ankle clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDIDI UFONDU DPM (DIRECTOR)
(201) 435-5500
Entity
Organization
Contact information
Practice address
434 W SIDE AVE, STE. A, JERSEY CITY, NJ 07304-1426
(201) 435-5500
Mailing address
PO BOX 1093, EDISON, NJ 08818-1093
(201) 435-5500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00296800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13414
MEDICARE INDIVIDUAL PTAN
—
01
—
1386805919
INDIVIDUAL NPI
NJ
Enumeration date
09/18/2008
Last updated
12/15/2010
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