Organization
FOOT AND ANKLE CENTER OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MANNIX (OFFICE MANAGER)
(908) 755-5545
Entity
Organization
Contact information
Practice address
1024 PARK AVE, SUITE 3, PLAINFIELD, NJ 07060-3026
(908) 755-5545
(908) 755-6065
Mailing address
1024 PARK AVE, SUITE 3, PLAINFIELD, NJ 07060-3026
(908) 755-5545
(908) 755-6065
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD00274700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00274800
NJ
Other
Enumeration date
01/11/2007
Last updated
09/09/2014
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