Organization
TRI COUNTY FOOT & ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN TADROS MICHAEL DPM (OWNER)
(201) 535-8978
Entity
Organization
Contact information
Practice address
855 BROADWAY, BAYONNE, NJ 07002-3018
(201) 535-8978
(201) 535-8979
Mailing address
PO BOX 476, COLTS NECK, NJ 07722-0476
(201) 535-8978
(201) 535-8979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MD00290800
NJ
Other
Enumeration date
11/15/2007
Last updated
03/30/2023
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