Organization
GERIATRIC FOOT SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN A MARTINA D.P.M. (PRESIDENT)
(856) 546-6459
Entity
Organization
Contact information
Practice address
317 10TH AVE, HADDON HEIGHTS, NJ 08035-1835
(856) 546-6459
(856) 546-7636
Mailing address
317 10TH AVE, HADDON HEIGHTS, NJ 08035-1835
(856) 546-6459
(856) 546-7636
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
25MD00092800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3252906
—
NJ
Enumeration date
12/14/2006
Last updated
11/15/2010
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