NPI 1194084640 GARDEN STATE PODIATRY, LLC BOUND BROOK NJ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Garden State Podiatry, Llc - NPI: 1194084640

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: GARDEN STATE PODIATRY, LLC
NPI Number: 1194084640
Entity Type Code: Organizational (2)
Authorized Official Name: UJJWAL KUMAR DATTA
(OWNER)
Mailing Address: 4 E High St
Bound Brook
State: NJ US
Postal Code: 088051946
Phone Number: 7325379200
Fax Number: 7323563750
NPI Enumeration Date: 05/03/2012
NPI Last Update Date: 05/03/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 213ES0103X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NJ
Taxonomy Type: Podiatric Medicine & Surgery Service Providers
Taxonomy Classification: Podiatrist
Taxonomy Specialization: Foot & Ankle Surgery
Taxonomy Definition:


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