Organization
HIGH PERFORMANCE FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY ALANA PAUKOVITZ DPM (OWNER/PHYSICIAN)
(732) 330-0924
Entity
Organization
Contact information
Practice address
1903 ATLANTIC AVE, BLDG C, STE 3, MANASQUAN, NJ 08736-1005
(732) 528-2218
(732) 528-2234
Mailing address
1903 ATLANTIC AVE, BLDG C, STE 3, MANASQUAN, NJ 08736-1005
(732) 528-2218
(732) 528-2234
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00269900
NJ
Other
Enumeration date
09/19/2014
Last updated
07/30/2015
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