| Organization Name: | FOOT AND ANKLE CENTER LLC |
| NPI Number: | 1235375528 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRINA A TSYGANOVA (PODIATRIST) |
| Mailing Address: | 3069 English Creek Ave Suite 201 Egg Harbor Township |
| State: | NJ US |
| Postal Code: | 082349708 |
| Phone Number: | 6092721450 |
| Fax Number: | 6092721445 |
| NPI Enumeration Date: | 12/17/2008 |
| NPI Last Update Date: | 05/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 25MD00297800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |