Fairlawn Podiatry Group Pa in Fair Lawn - Podiatrist
Fairlawn Podiatry Group Pa - NPI 1710043740
Fairlawn Podiatry Group Pa is a Podiatrist in Fair Lawn, New Jersey. Fairlawn Podiatry Group Pa practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Fairlawn Podiatry Group Pa is 1710043740. The last update date is 2009-08-06.
Fairlawn Podiatry Group Pa's current location address is 24-20 Broadway, Fair Lawn, New Jersey. You can contact this provider via phone number 2017973310 and fax number 2017971977. The mailing address for Fairlawn Podiatry Group Pa is 24-20 Broadway, Fair Lawn, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairlawn Podiatry Group Pa |
|---|---|
| Address | 24-20 Broadway, Fair Lawn, New Jersey |
| Phone Number | 2017973310 |
| Fax Number | 2017971977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO OWNER |
|---|---|
| Authorized Official Name | Raginsky Boris |
| Credentials | DPM |
| Telephone Number | 2017973310 |
NPI Number Detail
| NPI Number | 1710043740 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2009-08-06 |
Provider Mailing Address Detail
| Address | 24-20 Broadway |
|---|---|
| City | Fair Lawn |
| State | New Jersey (NJ) |
| Post Code | 74103065 |
| Phone Number | 2017973310 |
| Fax Number | 2017971977 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8024901 | NJ | -- | |
| 6702805 | NJ | -- |
Post Comment/ Review Below
What is the Fairlawn Podiatry Group Pa's 1710043740?
The Fairlawn Podiatry Group Pa's NPI (National Provider Identifier) Number is 1710043740. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fairlawn Podiatry Group Pa is located?
The Fairlawn Podiatry Group Pa is situated at the following address: 24-20 Broadway, Fair Lawn, NJ, 74103065.
What is Fairlawn Podiatry Group Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fairlawn Podiatry Group Pa is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date was the 1710043740 assigned to Fairlawn Podiatry Group Pa?
The Fairlawn Podiatry Group Pa was issued its 1710043740 on 2006-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Fairlawn Podiatry Group Pa last refreshed?
The information related to the Fairlawn Podiatry Group Pa, including its address, specialty, and other relevant details, was last updated on 2009-08-06.