Provider Demographics
NPI:1124233556
Name:AMBULATORY FOOT & ANKLE SURGERY CENTERS, LLC
Entity type:Organization
Organization Name:AMBULATORY FOOT & ANKLE SURGERY CENTERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FITZGERALD
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-447-8313
Mailing Address - Street 1:4 CORLEN CT
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-2357
Mailing Address - Country:US
Mailing Address - Phone:732-447-8313
Mailing Address - Fax:856-768-1157
Practice Address - Street 1:545 N ROUTE 73
Practice Address - Street 2:
Practice Address - City:WEST BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08091-9242
Practice Address - Country:US
Practice Address - Phone:732-447-8313
Practice Address - Fax:856-768-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric