ACHILLES FOOT & ANKLE CENTER, INC; NPI #1891179107

Contact Information

ACHILLES FOOT & ANKLE CENTER, INC

238 MAPLE AVE
RED BANK, NJ 07701-1731

Phone: 732-778-7900
Fax: 732-972-1006
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 ACHILLES FOOT & ANKLE CENTER, INC

NPI Number 1891179107

LBN Legal business name ACHILLES FOOT & ANKLE CENTER, INC

Authorized official JAMES LUDDEN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2015

Last updated 07/16/2015 - About 11 years ago

Identifiers

NJ	License #	25MD002127
NJ	Medicaid	5141401

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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