| Organization Name: | FOOT AND ANKLE SPECIALTY LLC |
| NPI Number: | 1124358858 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANANDKUMAR PATEL (OWNER) |
| Mailing Address: | 72-b Route 34 Old Bridge |
| State: | NJ US |
| Postal Code: | 08857 |
| Phone Number: | 7327273668 |
| Fax Number: | |
| NPI Enumeration Date: | 12/31/2009 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |