Organization
FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH L DIMENNA III DPM (PODIATRIST-OWNER)
(856) 667-8222
Entity
Organization
Contact information
Practice address
1020 KINGS HWY N, SUITE 110, CHERRY HILL, NJ 08034-1906
(856) 667-8222
(856) 667-9739
Mailing address
1020 KINGS HWY N, SUITE 110, CHERRY HILL, NJ 08034-1906
(856) 667-8222
(856) 667-9739
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334492000
AMERIHEALTH HMO GROUP
NJ
01
—
3713678
AETNA GROUP NUMBER
NJ
05
—
6695302
—
NJ
01
—
DC8897
RAILROAD MEDICARE GROUP
NJ
Enumeration date
02/01/2007
Last updated
01/30/2008
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