MEDICARE: PRINCETON FOOT AND ANKLE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC4761	OTHER	NJ	RAILROAD MEDICARE
2	CB0756	OTHER	NJ	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1538114475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRINCETON FOOT AND ANKLE ASSOCIATES

Provider Business Mailing Address
First Line	:	263 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-3127
Country	:	US
Telephone Number	:	609-799-0043
Fax Number	:	609-799-0047

Provider Business Practice Location Address
First Line	:	263 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-3127
Country	:	US
Telephone Number	:	609-799-0043
Fax Number	:	609-799-0047

Authorized Official
Title or Position	:	BUSINESS ADMIN
Name	:	ANN STANOCH
Credential	:
Telephone Number	:	609-799-0043

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	06/18/2008

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Directions to “PRINCETON FOOT AND ANKLE ASSOCIATES ” Practice Location

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