Alpha Podiatry
Clinic/Center, Podiatric in Marlboro, NJ. Organization (NPI-2).
NPI number1508304098
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1508304098
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Podiatry
- Organization subpart
- No
- Enumeration date
- Feb 6, 2017
- Last updated
- Feb 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | 25md00328400 | NJ | Yes |
Practice location
11 Molly Pitcher RdMarlboro, NJ 07746-2443
Phone 917-692-6408
Mailing address
11 Molly Pitcher RdMarlboro, NJ 07746-2443
Phone 917-692-6408
Authorized official
Mark Sharobeem
Dpm
9176926408
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