NPI 1003139031

Roselle Podiatry Group, PA

Organisation Foot Surgery Podiatrist Roselle, NJ

Practice location

Address: 776 E 3rd Ave, Roselle, NJ 07203-1698
Phone: (908) 620-3200
Fax: (908) 620-1040

Authorised official

Name: Yeon Shim
Title: President
Phone: (908) 620-3200

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence MD002426 (NJ)

Other Podiatrist providers in New Jersey →

Registry record

NPI: 1003139031
Entity type: Organization
NPI issued: 4 Mar 2010
Record last updated: 16 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.