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NPI Code Detail

MEDICARE: NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

MEDICARE: NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
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
1213ES0103XFoot & Ankle Surgery Podiatrist25MD00091800NJ

General Provider Information

NPI Number : 1811326846
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Provider Business Mailing Address
First Line : 4633 HIGHWAY 9 NORTH
Second Line :
City : HOWELL
State : NJ
Zip : 07731-3324
Country : US
Telephone Number : 732-994-5333
Fax Number :
Provider Business Practice Location Address
First Line : 1076 PARKWAY AVE
Second Line :
City : EWING
State : NJ
Zip : 08628-3002
Country : US
Telephone Number : 609-883-1605
Fax Number : 609-883-1678
Authorized Official
Title or Position : PRESIDENT
Name : HAL ORNSTEIN
Credential : DPM
Telephone Number : 732-994-5333
Provider Enumeration Date : 11/12/2013
Last Update Date : 11/12/2013

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Directions to “NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC ” Practice Location

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