Organization
ACTIVE FOOT & ANKLE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T. BRAVER DPM (OWNER)
(201) 791-1881
Entity
Organization
Contact information
Practice address
4-14 SADDLE RIVER RD, SUITE 101, FAIR LAWN, NJ 07410-5632
(201) 791-1881
(201) 791-6177
Mailing address
4-14 SADDLE RIVER RD, SUITE 101, FAIR LAWN, NJ 07410-5632
(201) 791-1881
(201) 791-6177
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00166400
NJ
Other
Enumeration date
10/24/2006
Last updated
10/28/2013
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