Organization
ATLANTIC FOOT AND ANKLE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L KOWALEWSKI (BILLING MANAGER)
(856) 753-0913
Entity
Organization
Contact information
Practice address
76 W JIMMIE LEEDS RD, SUITE 102, GALLOWAY, NJ 08205-9411
(609) 404-1300
(609) 404-1929
Mailing address
76 W JIMMIE LEEDS RD, SUITE 203, GALLOWAY, NJ 08205-9411
(609) 404-1300
(609) 404-1929
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7474504
—
NJ
Enumeration date
12/08/2006
Last updated
03/08/2011
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