# BERGEN SOLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bergen Sole Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699594317
- **Authorized official:** ELHAM NASAB DPM (PODIATRIST)
- **Authorized official phone:** (201) 430-5380

## Contact information

- **Practice address:** 9 S ISLAND AVE, RAMSEY, NJ 07446-2535
- **Practice address phone:** (201) 430-5380
- **Mailing address:** 9 S ISLAND AVE, RAMSEY, NJ 07446-2535
- **Mailing address phone:** (201) 430-5380
- **Mailing address fax:** (201) 648-2813

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2024
- **Last updated:** 05/26/2026
