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Organization

ADVANCED FEET AND ANKLE CARE

Active
Other names
advanced feet and ankle care
Organization subpart
No

Provider details

NPI number
Authorized official
JASON GROSSMAN DPM (PODIATRIST)
(732) 679-4330
Entity
Organization

Contact information

Practice address
99 OLD MATAWAN ROAD, OLD BRIDGE, NJ 08857-1420
(732) 679-4330
(732) 679-4777
Mailing address
99 OLD MATAWAN RD., OLD BRIDGE, NJ 08857-1420
(732) 679-4330
(732) 679-4777

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MD00268400
NJ

Other

Enumeration date
07/24/2017
Last updated
10/28/2022
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