institution
Roselle Podiatry Group, Pa
Foot Surgery Podiatrist in Roselle, New Jersey
NPI 1003139031

Roselle Podiatry Group, Pa is a Foot Surgery Podiatrist based in Roselle, NJ and is specialized in Foot Surgery. Roselle Podiatry Group, Pa practices in Roselle, NJ. The NPI Number for Roselle Podiatry Group, Pa is 1003139031 and holds a License No. MD002426 (New Jersey).

The current practice location address for Roselle Podiatry Group, Pa is 776 E 3Rd Ave, Roselle, NJ and can be reached out via phone at 908-620-3200 and via fax at 908-620-1040.

Location: 776 E 3Rd Ave, Roselle, NJ, 07203-1698
institution
Provider Profile Details
NPI Number
1003139031
Provider Name
Roselle Podiatry Group, Pa
Credential
Provider Entity Type
Organization
Address
776 E 3Rd Ave, Roselle, NJ, 07203-1698
Phone Number
908-620-3200
Fax Number
908-620-1040
Provider Enumeration Date
03/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4702770001 01 NJ MEDICARE DME
institution
Provider Business Practice Location Address Details
Address
776 E 3Rd Ave
City
State
Zip
07203-1698
Phone Number
908-620-3200
Fax Number
908-620-1040
person
Provider Business Mailing Address Details
Address
776 E 3Rd Ave
City
State
Zip
07203-1698
Phone Number
908-620-3200
Fax Number
908-620-1040
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
MD002426 (New Jersey)
Definition
Definition to come...
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