LIBERTY FOOT &ANKLE CENTER NPI 1952442550

NPI Information

LIBERTY FOOT &ANKLE CENTER is a foot and ankle surgery podiatrist in Forked River, NJ. LIBERTY FOOT &ANKLE CENTER NPI is 1952442550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

933 LACEY RD
SUITE 3
FORKED RIVER, NJ
ZIP 08731-049
Phone: (732) 255-8805

The provider's authorized official is Paul Kennelly .
The authorized official title is Owner and has the following contact phone number (732) 255-8805.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/18/2008.

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

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