Organization
PROGRESSIVE PODIATRY OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE JEANETTE GEHEGAN DPM (SOLE OWNER)
(201) 840-7373
Entity
Organization
Contact information
Practice address
725 RIVER RD, SUITE 201-A, EDGEWATER, NJ 07020-1171
(201) 840-7373
(201) 840-7383
Mailing address
725 RIVER RD, SUITE 201-A, EDGEWATER, NJ 07020-1171
(201) 840-7373
(201) 840-7383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00272100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508050139
NPI
—
01
—
6481920001
MEDICARE/CMS DME (PTAN)
NJ
Enumeration date
08/27/2007
Last updated
04/22/2011
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