Active Podiatry Llc Valid NPI

Organization · Foot & Ankle Surgery Podiatrist · Wayne, NJ

NPI

1093217622

Type

Organization (Type 2)

Primary specialty

Foot & Ankle Surgery Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213ES0103X

License number

25MD0032100 (NJ)

Enumerated

2018-02-28

Last updated

2025-09-02