| Organization Name: | REGIONAL FOOT AND ANKLE SPECIALISTS, LLC |
| NPI Number: | 1083629950 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERT M D'ANGELANTONIO (OWNER) |
| Mailing Address: | 188 Fries Mill Rd Ste N2 Turnersville |
| State: | NJ US |
| Postal Code: | 080122055 |
| Phone Number: | 8568758855 |
| Fax Number: | 8567285497 |
| NPI Enumeration Date: | 07/29/2006 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MD001883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |