Provider Demographics
NPI:1518224773
Name:UNITED FOOT AND ANKLE, INC
Entity Type:Organization
Organization Name:UNITED FOOT AND ANKLE, INC
Other - Org Name:DR. BIG FOOT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NASHED
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-979-2035
Mailing Address - Street 1:579 CRANBURY RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-979-2035
Mailing Address - Fax:732-955-6217
Practice Address - Street 1:579 CRANBURY RD
Practice Address - Street 2:SUITE G
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5405
Practice Address - Country:US
Practice Address - Phone:732-979-2035
Practice Address - Fax:732-955-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00310300213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty