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Contact Information

ADVANCED CARE PODIATRY, LLC
1725 KLOCKNER RD
TRENTON, NJ08619-2711
 Phone: 609-586-6700
 Fax: 609-586-8768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED CARE PODIATRY LLC · (Female)

NPI Number 1124573647
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2016
Last updated 12/13/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MD00297700
  • NJ Medicaid 0413283
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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