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Contact Information

NUTLEY FOOT AND ANKLE PA
242 WASHINGTON AVE
NUTLEY, NJ07110
 Phone: 973-667-3412
 Fax: 973-667-3524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NUTLEY FOOT AND ANKLE PA · (Female)

NPI # 1437327673
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2008
Last updated 05/04/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MD00096600
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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