Organization
KINETIC FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICO MIGUEL ALMAZAN VISPERAS D.P.M. (OWNER)
(862) 520-8895
Entity
Organization
Contact information
Practice address
1030 MCBRIDE AVE UNIT 103, WOODLAND PARK, NJ 07424-2535
(862) 520-8895
Mailing address
50 LINCOLN AVE, LITTLE FALLS, NJ 07424-1535
(862) 520-8895
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00323600
NJ
Other
Enumeration date
07/27/2018
Last updated
12/17/2018
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