Family Footcare Center Of Montclair
Podiatrist in Montclair, NJ. Organization (NPI-2).
NPI number1497856074
StatusActive
Last updated in NPPESJul 20, 2007
Details
- NPI
- 1497856074
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Footcare Center Of Montclair
- Organization subpart
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Jul 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | N003997-1 | NY | Yes |
Practice location
313 Orange RdMontclair, NJ 07042-4451
Phone 973-746-3500 · Fax 973-746-2929
Mailing address
313 Orange RdMontclair, NJ 07042-4451
Phone 973-746-3500 · Fax 973-746-2929
Authorized official
Demi M Turner
Coo
9737463500
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