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Organization

MONTCLAIR FOOT AND ANKLE

Active
Other names
NJ Ankle Pain, Montclair foot and ankle, NJ Ankle Pain LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANISSA HASHEMI-AWWAL DPM (OWNER)
(973) 265-0888
Entity
Organization

Contact information

Practice address
546 VALLEY RD STE 101, MONTCLAIR, NJ 07043-1871
(973) 420-6502
Mailing address
546 VALLEY RD STE 101, MONTCLAIR, NJ 07043-1871
(973) 265-0888

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
10/23/2023
Last updated
12/26/2025
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