| Organization Name: | FAMILY FOOT & ANKLE SPECIALISTS |
| NPI Number: | 1114912243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER A WISHNIE (OWNER) |
| Mailing Address: | 12 Wills Way Piscataway |
| State: | NJ US |
| Postal Code: | 088543770 |
| Phone Number: | 7329683833 |
| Fax Number: | 7329688821 |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 07/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00182600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |