Legacy Podiatry Group Inc in Mount Holly - Foot Surgery
Legacy Podiatry Group Inc - NPI 1770512493
Legacy Podiatry Group Inc is a Foot Surgery in Mount Holly, New Jersey. Legacy Podiatry Group Inc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Legacy Podiatry Group Inc is 1770512493. The last update date is 2007-11-19.
Legacy Podiatry Group Inc's current location address is 131 Madison Ave, Mount Holly, New Jersey. You can contact this provider via phone number 6092672700. The mailing address for Legacy Podiatry Group Inc is 131 Madison Ave, Mount Holly, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Podiatry Group Inc |
|---|---|
| Address | 131 Madison Ave, Mount Holly, New Jersey |
| Phone Number | 6092672700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wright Maria Ethel |
| Credentials | D.P.M. |
| Telephone Number | 6106133035 |
NPI Number Detail
| NPI Number | 1770512493 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
| Address | 131 Madison Ave |
|---|---|
| City | Mount Holly |
| State | New Jersey (NJ) |
| Post Code | 806020430 |
| Phone Number | 6092672700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 25MD00245100 |
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Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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What is the unique identification code assigned to Legacy Podiatry Group Inc by the Centers for Medicare & Medicaid Services?
The Legacy Podiatry Group Inc has been issued the NPI (National Provider Identifier) 1770512493. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Legacy Podiatry Group Inc is physically located?
The Legacy Podiatry Group Inc is situated at the following address: 131 Madison Ave, Mount Holly, NJ 806020430.
What is Legacy Podiatry Group Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Legacy Podiatry Group Inc's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.
On what date did Legacy Podiatry Group Inc receive its 1770512493 assignment from the Centers for Medicare & Medicaid Services?
The Legacy Podiatry Group Inc was assigned its 1770512493 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Legacy Podiatry Group Inc most recently updated or refreshed?
The details pertaining to the Legacy Podiatry Group Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-19.
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