Organization
ASSOCIATES IN FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LARSON DPM (OWNER)
(732) 899-0015
Entity
Organization
Contact information
Practice address
2159 ROUTE 88 E, BRICK, NJ 08724-3232
(732) 899-3366
(732) 899-1722
Mailing address
2159 ROUTE 88 E, BRICK, NJ 08724-3232
(732) 899-0015
(732) 899-0061
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068080
—
NJ
01
—
DB9553
RR MEDICARE
NJ
Enumeration date
12/14/2006
Last updated
06/01/2023
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