# MUNTASIR KHALED, DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Muntasir Khaled, DPM LLC, Foot and Ankle Specialists of North Jersey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801475223
- **Authorized official:** DR. MUNTASIR KHALED DPM (OWNER/CEO)
- **Authorized official phone:** (973) 873-0211

## Contact information

- **Practice address:** 309 MEMORIAL PKWY, BLOOMFIELD, NJ 07003-4264
- **Practice address phone:** (973) 570-8819
- **Practice address fax:** (973) 588-3119
- **Mailing address:** 309 MEMORIAL PKWY, BLOOMFIELD, NJ 07003-4264
- **Mailing address phone:** (973) 873-0211
- **Mailing address fax:** (973) 588-3119

## Taxonomy

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

## Other

- **Enumeration date:** 04/04/2021
- **Last updated:** 02/06/2023
