Advanced Podiatry PA

NPI #1154430411 in Union, New Jersey

Provider Information

NPI Number: 1154430411
Entity Type: Organization
Organization Name: Advanced Podiatry PA
Primary Specialty: Podiatrist
Enumeration Date: Aug 30, 2006
Last Updated: Dec 7, 2007

Practice Location

Address: 1308 MORRIS AVENUE
Address 2: SUITE 104
City: Union
State: New Jersey
ZIP Code: 07083-3331
Phone: (908) 688-5577

Authorized Official

Name: DR. GLENN A DAVISON, DPM
Title: PRESIDENT
Phone: (908) 688-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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