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General NPI Number Information
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NPI Number | 1144519943
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Entity Type | Organization
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Legal Business Name | UNIVERSITY FOOT AND ANKLE CENTER, LLC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 111 UNION VALLEY RD STE 204
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City | MONROE
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State | NJ
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Zip | 08831-6000
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Country | US
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Telephone | 609-860-5655
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Fax | 609-860-6656
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Provider Business Mailing Address
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Address Line | 111 UNION VALLEY RD STE 204
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City | MONROE
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State | NJ
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Zip | 08831-6000
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Country | US
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Telephone | 609-860-5655
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Fax | 609-860-6656
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Authorized Official
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Title or Position | OWNER
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Name | DR. GENINE BEFUMO
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Credential | DPM
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Telephone | 609-860-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD00269300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD00101200
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License Number State | NJ
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