Magnolia Podiatry LLC

NPI #1568120970 in Verona, New Jersey

Provider Information

NPI Number: 1568120970
Entity Type: Organization
Organization Name: Magnolia Podiatry LLC
Primary Specialty: Podiatrist
Enumeration Date: Dec 2, 2021
Last Updated: Dec 2, 2021

Practice Location

Address: 22 HEMLOCK DR
City: Verona
State: New Jersey
ZIP Code: 07044-1710
Phone: (203) 507-3919

Authorized Official

Name: DR. JENNIE CHAU, DPM
Title: SOLE PROPRIETOR
Phone: (203) 507-3919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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