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NPI Profile for COMPREHENSIVE FOOT ANKLE CENTER OF SOUTH JERSEY LLC in ATCO, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1215076237 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/06/2007 | |
| Last updated | 12/31/2012 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC