Center For Lower Extremity Wellness
Surgery in Fort Lee, NJ. Organization (NPI-2).
NPI number1366146565
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1366146565
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Lower Extremity Wellness
- Organization subpart
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
1608 Lemoine Ave Ste 101Fort Lee, NJ 07024-5636
Phone 201-585-9921
Mailing address
1608 Lemoine Ave Ste 101Fort Lee, NJ 07024-5636
Phone 201-585-9921
Authorized official
James Lee
Partner
2019062309
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