Organization
MAIN FOOT AND ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMUTASEMB SHEHADA DPM (PARTNER)
17189860781
Entity
Organization
Contact information
Practice address
1040 MAIN ST, FLOOR 2, PATERSON, NJ 07503-2212
(171) 898-6078
Mailing address
1040 MAIN ST, FLOOR 2, PATERSON, NJ 07503-2212
(171) 898-6078
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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