Provider Demographics
NPI:1386003085
Name:CORNERSTONE FOOT & ANKLE
Entity Type:Organization
Organization Name:CORNERSTONE FOOT & ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-582-6082
Mailing Address - Street 1:100 KINGS WAY E
Mailing Address - Street 2:SUITE D6
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2237
Mailing Address - Country:US
Mailing Address - Phone:856-582-6082
Mailing Address - Fax:856-582-6083
Practice Address - Street 1:100 KINGS WAY E
Practice Address - Street 2:SUITE D6
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2237
Practice Address - Country:US
Practice Address - Phone:856-582-6082
Practice Address - Fax:856-582-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty