| Organization Name: | ROXBURY FOOT AND ANKLE CENTER, PA |
| NPI Number: | 1053479527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WAYNE A CHIEPPA (PRESIDENT) |
| Mailing Address: | 66 Sunset Strip Suite 405 Succasunna |
| State: | NJ US |
| Postal Code: | 078761345 |
| Phone Number: | 9739272525 |
| Fax Number: | 9739273249 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 07/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00186600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |