Organization
FOOT AND ANKLE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REMON GENDY DPM (OWNER)
(973) 907-6210
Entity
Organization
Contact information
Practice address
520 CLIFTON AVE, CLIFTON, NJ 07011-3247
(973) 272-2525
(973) 272-3843
Mailing address
520 CLIFTON AVE STE 2, CLIFTON, NJ 07011-3247
(973) 272-2525
(973) 272-3843
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00303800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6678840001
PTAN
NJ
Enumeration date
12/03/2010
Last updated
02/05/2015
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