| Organization Name: | THE FOOT DOCTORS & WOUND CARE SPECIALISTS PC |
| NPI Number: | 1518390335 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN BANKERT (OFFICE MANAGER) |
| Mailing Address: | 8008 Route 130 Suite 310 Delran |
| State: | NJ US |
| Postal Code: | 080751869 |
| Phone Number: | 8563938771 |
| Fax Number: | 8563938767 |
| NPI Enumeration Date: | 08/15/2013 |
| NPI Last Update Date: | 08/15/2013 |
| 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: | |