Organization
NORTHEASTERN FOOT & ANKLE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAS KHOURY DPM (PRESIDENT)
(973) 473-6665
Entity
Organization
Contact information
Practice address
235 MAIN AVE, PASSAIC, NJ 07055-5501
(973) 473-6665
(973) 471-7308
Mailing address
235 MAIN AVE, PASSAIC, NJ 07055-5501
(973) 473-6665
(973) 471-7308
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00272000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011533
—
NJ
Enumeration date
11/17/2006
Last updated
01/06/2015
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