Organization Name: | HESS ANKLE AND FOOT CENTER, LLC |
NPI Number: | 1487961546 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE A HESS (OWNER) |
Mailing Address: | 300 Lexington Rd Bldg B Suite 230 Swedesboro |
State: | NJ US |
Postal Code: | 080851278 |
Phone Number: | 8562411880 |
Fax Number: | 8562419986 |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | MD01175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |