# BRANCHBURG PODIATRY GROUP LLC

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

## Provider details

- **NPI number:** 1669202453
- **Authorized official:** MORTEZA KHALADJ (OWNER)
- **Authorized official phone:** (908) 203-0122

## Contact information

- **Practice address:** 9 LAMINGTON RD, BRANCHBURG, NJ 08876-3374
- **Practice address phone:** (908) 203-0122
- **Mailing address:** 9 LAMINGTON RD, BRANCHBURG, NJ 08876-3374

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2024
- **Last updated:** 08/06/2024