institution
Innovative Foot And Ankle, P.a.
Primary Podiatric Medicine Podiatrist in Kenilworth, New Jersey
NPI 1023177532

Innovative Foot And Ankle, P.a. is a Primary Podiatric Medicine Podiatrist based in Kenilworth, NJ and is specialized in Primary Podiatric Medicine. Innovative Foot And Ankle, P.a. practices in Kenilworth, NJ. The NPI Number for Innovative Foot And Ankle, P.a. is 1023177532 and holds a License No. 25MD00261900 (New Jersey).

The current practice location address for Innovative Foot And Ankle, P.a. is 528 Boulevard, Kenilworth, NJ and can be reached out via phone at 908-276-6624 and via fax at 908-709-0163.

Location: 528 Boulevard, Kenilworth, NJ, 07033-1657
institution
Provider Profile Details
NPI Number
1023177532
Provider Name
Innovative Foot And Ankle, P.a.
Credential
Provider Entity Type
Organization
Address
528 Boulevard, Kenilworth, NJ, 07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8719501 05 NJ
institution
Provider Business Practice Location Address Details
Address
528 Boulevard
City
State
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
person
Provider Business Mailing Address Details
Address
528 Boulevard
City
State
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
25MD00261900 (New Jersey)
Definition
Definition to come...
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