Organization
ADVANCED FOOT & ANKLE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKAS BAWA DPM (OWNER)
(973) 906-3344
Entity
Organization
Contact information
Practice address
1060 BROAD ST, NEWARK, NJ 07102-2397
(973) 906-3344
(973) 741-2700
Mailing address
10 VICTORIA DR, SOMERSET, NJ 08873-4602
(973) 906-3344
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00260200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8560005
—
NJ
Enumeration date
11/09/2010
Last updated
10/02/2012
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