Organization
BURLINGTON COUNTY FOOT & ANKLE ASSOC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M DEPALMA DPM (PRESIDENT)
(609) 714-0052
Entity
Organization
Contact information
Practice address
520 STOKES ROAD, SUITE C-5, MEDFORD, NJ 08055
(609) 714-0052
(609) 714-3087
Mailing address
520 STOKES ROAD, SUITE C-5, MEDFORD, NJ 08055
(609) 714-0052
(609) 714-3087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000059327
AMERIHEALTH ADMINISTRATOR
—
01
—
0022161000
KEYSTONE EAST
—
01
—
DA3758
RR MEDICARE
—
Enumeration date
08/09/2005
Last updated
11/24/2015
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