Edison Podiatry, PA

NPI #1366471351 in Edison, New Jersey

Provider Information

NPI Number: 1366471351
Entity Type: Organization
Organization Name: Edison Podiatry, PA
Primary Specialty: Podiatrist
Enumeration Date: Jul 2, 2006
Last Updated: Feb 19, 2009

Practice Location

Address: 4 PROGRESS ST
Address 2: STE B5
City: Edison
State: New Jersey
ZIP Code: 08820-1199
Phone: (908) 753-0500

Authorized Official

Name: DANIEL J ROCHE, DPM
Title: OWNER
Phone: (908) 753-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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