Organization
PROACTIVE FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GEWIRTZ DPM (MANAGING PARTNER)
(201) 391-1113
Entity
Organization
Contact information
Practice address
241 MOLNAR DR STE 204, ELMWOOD PARK, NJ 07407-3200
(201) 703-3330
(201) 703-3332
Mailing address
74 PASCACK RD STE 6, PARK RIDGE, NJ 07656-1942
(201) 571-0214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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