Organization
LIBERTY FOOT &ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KENNELLY DPM (OWNER)
(732) 255-8805
Entity
Organization
Contact information
Practice address
933 LACEY RD, SUITE 3, FORKED RIVER, NJ 08731-1049
(732) 255-8805
Mailing address
1749 HOOPER AVE, STE.101, TOMS RIVER, NJ 08753-8130
(732) 255-8805
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD002445
NJ
Other
Enumeration date
02/08/2007
Last updated
08/18/2008
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