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Provider Information for 1760760771



KADIN FOOT & ANKLE CENTER PC

Organization Subpart: NO

Organization NPI: 1760760771

Calendar Last Updated: 2016-03-11

Details

Name Value
NPI 1760760771
Enumeration Date 2011-07-25
NPI Type 2- Organization
Status Active
Mailing Address 8008 ROUTE 130 SUITE 310
DELRAN, NJ 08075-1869
United States

Phone: 856-393-8771 | Fax: 856-393-8767
View Map External Link
Primary Practice Address 8008 ROUTE 130 SUITE 310
DELRAN, NJ 08075-1869
United States

Phone: 856-393-8771 | Fax: 856-393-8767
View Map External Link
Authorized Official Information Name: DR. NICOLE KAISER DPM
Title: PODIATRIST
Phone: 856-889-6062
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
213ES0103X - Podiatrist Foot & Ankle Surgery
Other Identifiers
Issuer State Number
Other DME NJ 6603550001