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LDDL SURGICAL PODIATRY ASSOCIATES NPI 1629369996


NPI Information

NPI: 1629369996
Provider Name: LDDL SURGICAL PODIATRY ASSOCIATES
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
20 VERMEER DR
APT 11
SOUTH AMBOY, NJ
ZIP 08879
Phone: (732) 709-3405
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LDDL SURGICAL PODIATRY ASSOCIATES is a foot and ankle surgery podiatrist in South Amboy, NJ. LDDL SURGICAL PODIATRY ASSOCIATES NPI is 1629369996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 VERMEER DR
APT 11
SOUTH AMBOY, NJ
ZIP 08879-339
Phone: (732) 709-3405

The provider's authorized official is Leo Davidson .
The authorized official title is Owner and has the following contact phone number (732) 709-3405.

The enumeration date for this NPI number is 4/21/2011 and was last updated on 4/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery25MD00307600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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