# BRICK FOOT & ANKLE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316475973
- **Authorized official:** JOHN MOSTAFA DPM (PHYSICIAN)
- **Authorized official phone:** (201) 683-1133

## Contact information

- **Practice address:** 292 HERBERTSVILLE RD, BRICK, NJ 08724-1734
- **Practice address phone:** (732) 840-8989
- **Practice address fax:** (732) 840-9135
- **Mailing address:** 5 ANNA ROSE CT, BORDENTOWN, NJ 08505-2270
- **Mailing address phone:** (201) 683-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2017
- **Last updated:** 04/16/2019