THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE; NPI #1154736585

Contact Information

THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE

728 BENNETTS MILLS RD
SUITE 2
JACKSON, NJ 08527

Phone: 732-833-2800
Fax: 732-833-4808
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE

NPI # 1154736585

LBN Legal business name THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE

Authorized official KEITH ROSENTHAL - (OWER/PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/24/2014

Last updated 06/24/2014 - About 12 years ago

Identifiers

Medicaid

1D7323107

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE

Reviews for THE JACKSON CENTER FOR FOOT AND ANKLE MEDICINE