Organization Name: | COMPREHENSIVE FOOT & ANKLE CENTER, LLC |
NPI Number: | 1114974698 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MINH P. CAO (PHYSICIAN) |
Mailing Address: | 571 Berlin Cross Keys Rd Suite 100 Sicklerville |
State: | NJ US |
Postal Code: | 080819550 |
Phone Number: | 8568759553 |
Fax Number: | 8568759443 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00276000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |