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Organization

FOOT AND ANKLE CARE PODIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN ROSENBLUM (SECRETERY)
(718) 302-1800
Entity
Organization

Contact information

Practice address
393 TERHUNE AVE, PASSAIC, NJ 07055-2448
(973) 222-3980
(718) 792-5900
Mailing address
393 TERHUNE AVE, PASSAIC, NJ 07055-2448
(973) 222-3980
(718) 792-5900

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD002
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02891298
NY
Enumeration date
01/14/2014
Last updated
01/14/2014
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