Foot Care Center LLC
Podiatrist in Union, NJ. Organization (NPI-2).
NPI number1982809919
StatusActive
Last updated in NPPESJan 15, 2008
Details
- NPI
- 1982809919
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot Care Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Jan 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | MD001942 | NJ | Yes |
Practice location
2565 Morris AveUnion, NJ 07083-5613
Phone 908-687-3343 · Fax 908-687-3343
Mailing address
2565 Morris AveUnion, NJ 07083-5613
Phone 908-687-3343 · Fax 908-687-3343
Authorized official
Vera Khrakovsky
Owner
9086873343
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