Organization
KENNETH INDAHL
Active
Other names
ALLAIRE FOOT & ANKLE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH INDAHL DPM (OWNER)
(732) 528-8223
Entity
Organization
Contact information
Practice address
2399 HIGHWAY 34, SUITE A6, MANASQUAN, NJ 08736-1500
(732) 528-8223
(732) 528-7057
Mailing address
2399 HIGHWAY 34, SUITE A6, MANASQUAN, NJ 08736-1500
(732) 528-8223
(732) 528-7057
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00100900
NJ
Other
Enumeration date
08/05/2007
Last updated
06/18/2008
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