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Organization

MERCER-OCEAN PODIATRY

Active
Parent organization
MERCER-OCEAN PODIATRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCER-OCEAN PODIATRY
Authorized official
DR. FRANK JOHN KILLIAN DPM (OWNER/CEO)
(732) 557-4266
Entity
Organization

Contact information

Practice address
2103 WHITEHORSE MERCERVILLE RD, SUITE 4, HAMILTON, NJ 08619-2641
(609) 585-3200
(609) 586-3186
Mailing address
202 ROUTE 37 W STE 4, TOMS RIVER, NJ 08755-8055
(732) 688-8370
(732) 557-5001

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00240900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
066771
MEDICARE PTAN FJ KILLIAN
NJ
01
1508222746
GROUP NPI
NJ
01
503446
MEDICARE PTAN MERCER OCEAN PODIATRY
NJ
01
DW8603
GROUP PTAN
NJ
Enumeration date
10/26/2016
Last updated
05/21/2020
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