MEDICARE: BUTTIGHERI FOOT CARE CENTER, P.C.

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	25MD00181700	NJ

General Provider Information

NPI Number	:	1679738728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTIGHERI FOOT CARE CENTER, P.C.

Provider Business Mailing Address
First Line	:	2761 KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5515
Country	:	US
Telephone Number	:	201-653-7030
Fax Number	:	201-792-0576

Provider Business Practice Location Address
First Line	:	2761 KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5515
Country	:	US
Telephone Number	:	201-653-7030
Fax Number	:	201-792-0576

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. JOSEPH ANDRE BUTTIGHERI
Credential	:	DPM FACFAS
Telephone Number	:	201-653-7030

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	02/10/2009

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