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Organization
KINETIC FOOT AND ANKLE, LLC
Active
Organization
KINETIC FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICO MIGUEL ALMAZAN VISPERAS D.P.M. (OWNER)
(862) 520-8895
Entity
Organization
Contact information
Practice address
1030 MCBRIDE AVE UNIT 103, WOODLAND PARK, NJ 07424-2535
(862) 520-8895
Mailing address
50 LINCOLN AVE, LITTLE FALLS, NJ 07424-1535
(862) 520-8895
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00323600
NJ
Other
Enumeration date
07/27/2018
Last updated
12/17/2018
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