Organization
JERSEY SHORE FOOT & ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G KACHMAR D.P.M. (OWNER)
(732) 269-1133
Entity
Organization
Contact information
Practice address
1 PELICAN DR STE 8, BAYVILLE, NJ 08721-1600
(732) 269-1133
(732) 269-7675
Mailing address
1 PELICAN DR STE 8, BAYVILLE, NJ 08721-1600
(732) 269-1133
(732) 269-7675
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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