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115 State Rt 46, Unit B12, Mountain Lake, NJ 07046 | |
(973) 265-0888 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 115 State Rt 46, Mountain Lake, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1225810435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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32 Bonnieview Ln, Towaco, NJ 07082-1289 Ph: (973) 420-6502 | 115 State Rt 46, Unit B12, Mountain Lake, NJ 07046 Ph: (973) 265-0888 |