Organization
LIBERTY FOOT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED H ELMASRY C PED (BOARD CERTIFIED PEDORTHIST)
(201) 858-4900
Entity
Organization
Contact information
Practice address
287 BROADWAY, BAYONNE, NJ 07002
(201) 858-4900
Mailing address
PO BOX 3279, BAYONNE, NJ 07002
(201) 858-4900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1963
MN
332BC3200X
Customized Equipment (DME)
1963
MN
Other
Enumeration date
01/02/2007
Last updated
07/10/2008
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