| |
153 Paris Ave Ste A, Northvale, NJ 07647-2054 | |
(201) 784-1828 | |
(201) 784-1611 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 153 Paris Ave Ste A, Northvale, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710148200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00178500 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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153 Paris Ave Ste A, Northvale, NJ 07647-2054 Ph: (201) 784-1828 | 153 Paris Ave Ste A, Northvale, NJ 07647-2054 Ph: (201) 784-1828 |