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Individual

ALLEN MIRZAEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
543 N SHIPLEY ST, SUITE C, SEAFORD, DE 19973-2339
(302) 629-3000
(302) 629-3080
Mailing address
543 N SHIPLEY ST, SUITE C, SEAFORD, DE 19973-2339
(302) 629-3000
(302) 629-3080

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E1-0000235
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
E1-0000235
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006482
PA

Other

Enumeration date
10/03/2013
Last updated
09/28/2016
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