Organization
FOOT AND ANKLE CENTER OF FORT LEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVRIIL KHAIMOV DPM (PRESIDENT)
(201) 363-9844
Entity
Organization
Contact information
Practice address
2225 LEMOINE AVE FL 1, FORT LEE, NJ 07024-6104
(201) 363-9844
(201) 363-9662
Mailing address
2225 LEMOINE AVE STE 4, FORT LEE, NJ 07024-6104
(201) 363-9844
(201) 363-9662
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00295000
NJ
Other
Enumeration date
01/02/2008
Last updated
04/21/2020
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