| Organization Name: | FOOT CARE OF JERSEY CORPORATION |
| NPI Number: | 1003024019 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK JOSEPH CAIN (PRESIDENT) |
| Mailing Address: | 669 Broadway Suite 2 Paterson |
| State: | NJ US |
| Postal Code: | 075141947 |
| Phone Number: | 9736897091 |
| Fax Number: | 9736897561 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 10/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 25MD00284800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |