Provider Demographics
NPI:1386347599
Name:SOUTH JERSEY FOOT AND ANKLE INSTITUTE
Entity type:Organization
Organization Name:SOUTH JERSEY FOOT AND ANKLE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:856-290-7818
Mailing Address - Street 1:412 EWAN RD STE C
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-3707
Mailing Address - Country:US
Mailing Address - Phone:856-290-7818
Mailing Address - Fax:856-290-7820
Practice Address - Street 1:412 EWAN RD STE C
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-3707
Practice Address - Country:US
Practice Address - Phone:856-290-7818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric