Organization
JACKSON CENTER FOR FOOT AND ANKLE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ROSENTHAL (OWNER)
(732) 833-2800
Entity
Organization
Contact information
Practice address
728 BENNETTS MILLS RD, JACKSON, NJ 08527-3850
(732) 833-2800
Mailing address
728 BENNETTS MILLS RD, JACKSON, NJ 08527-3850
(732) 833-2800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MD00240300
NJ
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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