Provider Demographics
NPI: | 1902353881 |
---|---|
Name: | RAMOS FOOT AND ANKLE CENTER LLC |
Entity type: | Organization |
Organization Name: | RAMOS FOOT AND ANKLE CENTER LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRACTICE ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MAGALY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GONZALEZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 732-442-6444 |
Mailing Address - Street 1: | 474 AMBOY AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | PERTH AMBOY |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08861-3145 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-442-6444 |
Mailing Address - Fax: | 732-442-6449 |
Practice Address - Street 1: | 561 CRANBURY RD STE L |
Practice Address - Street 2: | |
Practice Address - City: | EAST BRUNSWICK |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08816-5400 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-442-6444 |
Practice Address - Fax: | 732-442-6449 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-09-08 |
Last Update Date: | 2016-09-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery | Group - Single Specialty |