Organization
JULIAN SANSONE, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN SANSONE DPM (PODIATRIST)
(732) 771-6881
Entity
Organization
Contact information
Practice address
4 PEACOCK LN, JACKSON, NJ 08527
(732) 771-6881
Mailing address
4 PEACOCK LN, JACKSON, NJ 08527-5350
(732) 771-6881
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00282700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099198
—
NJ
05
—
02634742
—
NY
Enumeration date
02/03/2007
Last updated
08/07/2018
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