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Organization

BAYSIDE FOOT & ANKLE

Active
Other names
Dr Sandra Dalton
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY LINDEMUTH (OM)
(609) 926-7006
Entity
Organization

Contact information

Practice address
501 BAY AVE, STE 103, SOMERS POINT, NJ 08244
(609) 926-7006
(609) 926-7016
Mailing address
501 BAY AVE, STE 103, SOMERS POINT, NJ 08244
(609) 926-7006
(609) 926-7016

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00248000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
813300
NJ
Enumeration date
01/23/2007
Last updated
08/22/2020
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