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Allstar Foot & Ankle LLC

Podiatrist, Foot & Ankle Surgery in Marlton, NJ. Organization (NPI-2).

NPI number1245424407
StatusActive
Last updated in NPPESJan 10, 2008

Details

NPI
1245424407
Entity type
Organization (NPI-2)
Legal business name
Allstar Foot & Ankle LLC
Organization subpart
No
Enumeration date
Aug 30, 2007
Last updated
Jan 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery25md00278000NJYes

Practice location

9001 Lincoln Dr W Ste G
Marlton, NJ 08053-3202

Phone 856-983-0900 · Fax 856-983-0905

Mailing address

9001 Lincoln Dr W Ste G
Marlton, NJ 08053-3202

Phone 856-983-0900 · Fax 856-983-0905

Authorized official

Rudolf Zak
Owner/Manager
8569830900

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