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Contact Information

COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC
277 WHITE HORSE PIKE
SUITE 101
ATCO, NJ08004
 Phone: 856-768-7850
 Fax: 856-768-7853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC

NPI # 1215076237
LBN Legal business name COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC
Authorized official ELENA WELLENS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2007
Last updated 12/31/2012 - About 13 years ago
Identifiers
NJ License # 25MD00274600
NJ Medicaid 0051756
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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