Provider Demographics
NPI:1891570008
Name:TROTTER FOOT AND ANKLE CO
Entity Type:Organization
Organization Name:TROTTER FOOT AND ANKLE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-996-8799
Mailing Address - Street 1:32 1ST ST
Mailing Address - Street 2:
Mailing Address - City:RUMSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-1325
Mailing Address - Country:US
Mailing Address - Phone:732-996-8799
Mailing Address - Fax:
Practice Address - Street 1:167 AVENUE AT THE CMN STE 3
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4557
Practice Address - Country:US
Practice Address - Phone:732-996-8799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty