Organization
FOOT AND ANKLE INSTITUTE OF EDISON, LLC
Active
Parent organization
NEW JERSEY PODIATRIC PHYSICIAN AND SURGEON GROUP
Other names
Affiliated Foot and Ankle Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY PODIATRIC PHYSICIAN AND SURGEON GROUP
Authorized official
DR. VARUN GUJRAL DPM (OWNER)
(732) 662-3050
Entity
Organization
Contact information
Practice address
2163 OAK TREE RD, SUITE 108, EDISON, NJ 08820-1083
(732) 662-3050
Mailing address
2163 OAK TREE RD, SUITE 108, EDISON, NJ 08820-1083
(732) 662-3050
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00289700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154342
—
NJ
Enumeration date
05/07/2015
Last updated
05/07/2015
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