| Organization Name: | HAPPY FEET PODIATRY LLC |
| NPI Number: | 1013031053 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARNELL PAUL MOORE (MEMBER) |
| Mailing Address: | 310 Central Ave Ste 303 East Orange |
| State: | NJ US |
| Postal Code: | 070182838 |
| Phone Number: | 9733372893 |
| Fax Number: | 2012281689 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 03/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00289000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |