Provider Demographics
NPI:1356370332
Name:COMAPSSIONATE PODIATRY
Entity type:Organization
Organization Name:COMAPSSIONATE PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ERNESTO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-308-0963
Mailing Address - Street 1:172 COLONY LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8785
Mailing Address - Country:US
Mailing Address - Phone:732-308-0963
Mailing Address - Fax:856-854-7969
Practice Address - Street 1:570 HADDON AVE STE C
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-1449
Practice Address - Country:US
Practice Address - Phone:856-833-1479
Practice Address - Fax:856-854-7969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00207600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty