JACKSON FAMILY FOOT & ANKLE CARE LLC NPI 1104025931

NPI Information

JACKSON FAMILY FOOT & ANKLE CARE, LLC is a foot and ankle surgery podiatrist in Jackson, NJ. JACKSON FAMILY FOOT & ANKLE CARE, LLC NPI is 1104025931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 W VETERANS HWY
SUITE 11
JACKSON, NJ
ZIP 08527-435
Phone: (732) 833-6888
Fax: (732) 833-6280

The provider's authorized official is Christopher Blakeslee .
The authorized official title is Owner and has the following contact phone number (732) 833-6888.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 12/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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