Organization
LAKEWOOD FOOT AND ANKLE SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN SMITH (OFFICE MANAGER)
(732) 367-5151
Entity
Organization
Contact information
Practice address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-5151
(732) 905-5160
Mailing address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 367-5151
(732) 905-5160
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00332400
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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