NUTLEY FOOT AND ANKLE PA; NPI #1437327673

Contact Information

NUTLEY FOOT AND ANKLE PA

242 WASHINGTON AVE
NUTLEY, NJ 07110

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

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NPI Profile & details for NUTLEY FOOT AND ANKLE PA

NPI Number 1437327673

LBN Legal business name NUTLEY FOOT AND ANKLE PA

Authorized official VINCENT COPPOLA - (OWNER / PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/11/2008

Last updated 05/04/2022 - About 4 years ago

Identifiers

License #

25MD00096600

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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NUTLEY FOOT AND ANKLE PA

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for NUTLEY FOOT AND ANKLE PA

Reviews for NUTLEY FOOT AND ANKLE PA