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Organization
FTX NEW JERSEY LLC
Active
Organization
FTX NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEYED HESSAM KHATAMI DC (CEO)
(561) 995-0136
Entity
Organization
Contact information
Practice address
3817 CROSSWICKS-HAMILTON SQ RD, UNIT G, SUITE 128, HAMILTON, NJ 08691
(561) 995-0136
Mailing address
7815 NW BEACON SQUARE BLVD STE 101, BOCA RATON, FL 33487-1345
(561) 995-0136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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