Organization
SOUTH JERSEY FOOT & ANKLE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHARLES KRAATZ DPM (PRESIDENT)
(856) 854-3093
Entity
Organization
Contact information
Practice address
570 HADDON AVE, COLLINGSWOOD, NJ 08108-1449
(856) 854-3093
(856) 854-7969
Mailing address
570 HADDON AVE, COLLINGSWOOD, NJ 08108-1449
(856) 854-3093
(856) 854-7969
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00145200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072427000
AMERIHEALTH
NJ
01
—
01000445700
AMERICHOICE
NJ
01
—
1012298
HORIZON MERCY
NJ
01
—
25032
AETNA
NJ
01
—
3K4669
HEALTH NET
NJ
05
—
7771100
—
NJ
01
—
CG7953
RAILROAD MEDICARE
NJ
Enumeration date
10/02/2006
Last updated
10/03/2012
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