Organization
OCEAN COUNTY FOOT & ANKLE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL DAVID PETRANTO D.P.M. (AUTHORIZED OFFICIAL)
(732) 505-4500
Entity
Organization
Contact information
Practice address
61 LACEY RD, WHITING, NJ 08759-4439
(732) 350-2424
(732) 350-2444
Mailing address
54 BEY LEA RD, SUITE 1, TOMS RIVER, NJ 08753-2978
(732) 505-4500
(732) 505-9787
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/26/2017
Last updated
12/12/2022
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