institution
Innovative Foot And Ankle, P.a.
Foot & Ankle Surgery Podiatrist in Montclair, New Jersey
NPI 1861922320

Innovative Foot And Ankle, P.a. is a Foot & Ankle Surgery Podiatrist based in Kenilworth, NJ and is specialized in Foot & Ankle Surgery. Innovative Foot And Ankle, P.a. practices in Montclair, NJ. The NPI Number for Innovative Foot And Ankle, P.a. is 1861922320 and holds a License No. (New Jersey).

The current practice location address for Innovative Foot And Ankle, P.a. is 119 Grove St, Montclair, NJ and can be reached out via phone at 973-783-5101. You can also correspond with Innovative Foot And Ankle, P.a. through the mailing address at 528 BOULEVARD, KENILWORTH, NJ - 07033-1657 (mailing address contact number: ).

Location: 119 Grove St, Montclair, NJ, 07033-1657
institution
Provider Profile Details
NPI Number
1861922320
Provider Name
Innovative Foot And Ankle, P.a.
Credential
Provider Entity Type
Organization
Address
119 Grove St, Montclair, NJ, 07033-1657
Phone Number
973-783-5101
Fax Number
Provider Enumeration Date
06/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8719501 05 NJ
institution
Provider Business Practice Location Address Details
Address
119 Grove St
City
State
Zip
07042-4044
Phone Number
973-783-5101
Fax Number
person
Provider Business Mailing Address Details
Address
528 Boulevard
City
State
Zip
07033-1657
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
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