Proactive Foot and Ankle
NPI #1710477864 in Old Tappan, New Jersey
Provider Information
- NPI Number
- 1710477864
- Entity Type
- Organization
- Organization Name
- Proactive Foot and Ankle
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 15, 2018
- Last Updated
- May 15, 2018
Practice Location
- Address
- 215 OLD TAPPAN RD
- City
- Old Tappan
- State
- New Jersey
- ZIP Code
- 07675-7000
- Phone
- (201) 930-9090
Authorized Official
- Name
- JEFFREY GEWIRTZ
- Title
- MANAGING PARTNER
- Phone
- (201) 391-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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