Organization
LIVINGSTON AVENUE FOOT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVINDRA POONAI D.P.M. (OWNER)
(732) 246-1377
Entity
Organization
Contact information
Practice address
602 LIVINGSTON AVE, NORTH BRUNSWICK, NJ 08902-2443
(732) 246-1377
(732) 246-0858
Mailing address
602 LIVINGSTON AVE, NORTH BRUNSWICK, NJ 08902-2443
(732) 246-1377
(732) 246-0858
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP0504X
Public Medicine Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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