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Contact Information

JERSEY SHORE PODIATRY ,LLC
600 MULE RD
SUITE 3
TOMS RIVER, NJ08757
 Phone: 732-557-6336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JERSEY SHORE PODIATRY LLC · (Female)

NPI Number 1497969224
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2007
Last updated 01/31/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MD00244300
  • NJ Medicaid 0077858
  • NJ Other P3236068 HORIZON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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