Organization
ADVANCE ANKLE, FOOT AND PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA BEG (MEMBERS/MANAGERS)
(973) 473-4040
Entity
Organization
Contact information
Practice address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(973) 473-4040
(973) 472-2451
Mailing address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(973) 473-4040
(973) 472-2451
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
—
NJ
174400000X
Specialist
—
NJ
2084N0400X
Neurology Physician
Primary
—
NJ
208VP0000X
Pain Medicine Physician
—
NJ
305R00000X
Preferred Provider Organization
—
NJ
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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