Organization Name: | KEVIN M HEALEY DPM DBA ANKLE & FOOT ASSOC OF NO JERSEY |
NPI Number: | 1598938524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN MARK HEALEY (SOLE.PROP) |
Mailing Address: | 152 Lakeview Ave Clifton |
State: | NJ US |
Postal Code: | 070114021 |
Phone Number: | 9733408970 |
Fax Number: | 9733408632 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | MD01387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |