Comprehensive Foot & Ankle Center of South Jersey LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Atco, NJ
NPI 1215076237 · NPPES record last updated Dec 31, 2012
Key facts
- NPI
- 1215076237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 25MD00274600 (NJ)
- Legal business name
- COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC
- Practice address
- 277 White Horse Pike
Suite 101
Atco, NJ 08004 - Phone
- (856) 768-7850
- Fax
- (856) 768-7853
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Elena Kathleen Wellens, D.P.M.
- Title
- Owner
- Phone
- (856) 768-7850
National Provider Directory
Locations
277 White Horse Pike
Ste 101
Atco, NJ 08004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 25MD00274600 | NJ | Yes |
Addresses
Primary practice location
277 White Horse Pike
Suite 101
Atco, NJ 08004
Mailing address
PO Box 8893
Turnersville, NJ 08012-8893
Phone (856) 768-7850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051756 | Medicaid | NJ |
Other providers in Atco, NJ
- Belinda L Brooks
- Harriet Burton-Wilson
- Robert Cavallaro
- Tonette Clark
- Joseph Clements
- Carissa Nicole Court
- Ayla D'Ambrosio
- Asia Davy
- Daybreak Treatment Care
- Tracy Decristofaro
All providers in Atco, NJ · Foot & Ankle Surgery Podiatrist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.