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Organization

CENTRAL JERSEY CENTER FOR FOOT & ANKLE SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE J FAHOURY JR. DPM (OWNER)
(732) 741-5500
Entity
Organization

Contact information

Practice address
655 SHREWSBURY AVE, SUITE 207, SHREWSBURY, NJ 07702-4151
(732) 741-5500
(732) 741-5560
Mailing address
655 SHREWSBURY AVE, SUITE 207, SHREWSBURY, NJ 07702-4151
(732) 741-5500
(732) 741-5560

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01290
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0K8685
HEALTH NET
NJ
05
1393600
NJ
01
480028355
RAILROAD MEDICARE
NJ
01
MS306
OXFORD HEALTH PLAN
NJ
01
PC1661
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
09/13/2005
Last updated
06/17/2009
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