Provider Demographics
NPI:1952901035
Name:QUALITY FOOT AND ANKLE CENTER
Entity type:Organization
Organization Name:QUALITY FOOT AND ANKLE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-221-2091
Mailing Address - Street 1:71 ALLISON DR
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-1655
Mailing Address - Country:US
Mailing Address - Phone:551-221-2091
Mailing Address - Fax:
Practice Address - Street 1:449 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-5105
Practice Address - Country:US
Practice Address - Phone:551-221-2091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY FOOT AND ANKLE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty