Organization
EAST COAST PODIATRIC MEDICINE AND SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN TAJERSTEIN (MEMBER/PRESIDENT)
(917) 370-6672
Entity
Organization
Contact information
Practice address
5401 COLLINS AVE, MIAMI BEACH, FL 33140-2573
(917) 370-6672
(718) 252-5810
Mailing address
2802 AVENUE P, BROOKLYN, NY 11229-1810
(917) 370-6672
(718) 252-5810
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
HCC6902
FL
Other
Enumeration date
05/12/2006
Last updated
01/10/2013
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