Provider Demographics
NPI:1922784727
Name:SPECIALIZED FOOT AND ANKLE CARE INC
Entity Type:Organization
Organization Name:SPECIALIZED FOOT AND ANKLE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHU
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-865-6495
Mailing Address - Street 1:485 NEW BRUNSWICK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-3675
Mailing Address - Country:US
Mailing Address - Phone:732-946-3000
Mailing Address - Fax:732-820-4700
Practice Address - Street 1:485 NEW BRUNSWICK AVE STE 102
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3675
Practice Address - Country:US
Practice Address - Phone:732-946-3000
Practice Address - Fax:732-820-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric