Organization
PROACTIVE FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GEWIRTZ DPM (MANAGING MEMBER)
(201) 391-1113
Entity
Organization
Contact information
Practice address
74 PASCACK RD STE 6, PARK RIDGE, NJ 07656-1942
(201) 391-1113
Mailing address
74 PASCACK RD STE 6, PARK RIDGE, NJ 07656-1942
(201) 391-1113
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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