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Individual

JOHN MOSTAFA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
292 HERBERTSVILLE RD, BRICK, NJ 08724-1734
(732) 840-8989
(732) 840-9135
Mailing address
5 ANNA ROSE CT, BORDENTOWN, NJ 08505-2270
(201) 683-1133

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
006735
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00320900
NJ

Other

Enumeration date
05/24/2011
Last updated
04/16/2019
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