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Organization
FOOT AND ANKLE CENTER OF FORT LEE, LLC
Active
Organization
FOOT AND ANKLE CENTER OF FORT LEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVRIIL KHAIMOV DPM (PRESIDENT)
(201) 363-9844
Entity
Organization
Contact information
Practice address
2225 LEMOINE AVE FL 1, FORT LEE, NJ 07024-6104
(201) 363-9844
(201) 363-9662
Mailing address
2225 LEMOINE AVE STE 4, FORT LEE, NJ 07024-6104
(201) 363-9844
(201) 363-9662
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00295000
NJ
Other
Enumeration date
01/02/2008
Last updated
08/11/2026
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