ADVANCED FOOT CARE CENTER, LLC; NPI #1699079665

Contact Information

ADVANCED FOOT CARE CENTER, LLC

204 GROVE AVE
SUITE G
THOROFARE, NJ 08086-2557

Phone: 856-579-8674
Fax: 856-579-8676
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 ADVANCED FOOT CARE CENTER, LLC

NPI # 1699079665

LBN Legal business name ADVANCED FOOT CARE CENTER, LLC

Authorized official JOSEPH MEGARA - (MANAGING MEMEBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/05/2011

Last updated 10/17/2012 - About 14 years ago

Identifiers

NJ	License #	25MD00273100
NJ	Other	240449	MEDICARE PTAN

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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ADVANCED FOOT CARE CENTER, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ADVANCED FOOT CARE CENTER, LLC

Reviews for ADVANCED FOOT CARE CENTER, LLC