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Organization

SAN MATEO FOOT AND ANKLE CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH JOSEPH PASSERI D.P.M. (PRESIDANT)
(650) 342-5733
Entity
Organization

Contact information

Practice address
101 S SAN MATEO DR STE 212, SAN MATEO, CA 94401-3843
(650) 342-5733
(650) 342-0525
Mailing address
101 S SAN MATEO DR STE 212, SAN MATEO, CA 94401-3843
(650) 342-5733
(650) 342-0525

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E3347
CA

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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