Organization Name: | ALLCARE FOOT & ANKLE |
NPI Number: | 1013383991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLISON L CHENEY (SOLE MEMBER) |
Mailing Address: | 1300 State Route 35 Suite 101 Ocean |
State: | NJ US |
Postal Code: | 077123537 |
Phone Number: | 3128828881 |
Fax Number: | 7327844286 |
NPI Enumeration Date: | 08/14/2015 |
NPI Last Update Date: | 09/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 25MD00323400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |