Healthcare Provider Details

I. General information

NPI: 1740435924
Provider Name (Legal Business Name): RAMOS FOOT AND ANKLE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 06/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 AMBOY AVE 2ND FLR
PERTH AMBOY NJ
08861-3145
US

IV. Provider business mailing address

474 AMBOY AVE 2ND FLR
PERTH AMBOY NJ
08861-3145
US

V. Phone/Fax

Practice location:
  • Phone: 732-442-6444
  • Fax: 732-442-6449
Mailing address:
  • Phone: 732-442-6444
  • Fax: 732-442-6449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00287000
License Number StateNJ

VIII. Authorized Official

Name: DR. FAUSTO J RAMOS
Title or Position: OWNER
Credential: DPM
Phone: 732-442-6444