# FREDERICK M WEINTRAUB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** alpine/northernvalley podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710148200
- **Authorized official:** DR. FREDERICK M WEINTRAUB DPM (PRESIDENT)
- **Authorized official phone:** (201) 784-1828

## Contact information

- **Practice address:** 153 PARIS AVE STE A, NORTHVALE, NJ 07647-2054
- **Practice address phone:** (201) 784-1828
- **Practice address fax:** (201) 784-1611
- **Mailing address:** 153 PARIS AVE STE A, NORTHVALE, NJ 07647-2054
- **Mailing address phone:** (201) 784-1828
- **Mailing address fax:** (201) 784-1611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00178500 | NJ | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/21/2008