Organization
BERGEN FOOT & ANKLE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY SEESE-KIM DPM (DIRECTOR)
(201) 944-4477
Entity
Organization
Contact information
Practice address
2175 LEMOINE AVE STE 302, FORT LEE, NJ 07024-6019
(201) 944-4477
Mailing address
2175 LEMOINE AVE STE 302, FORT LEE, NJ 07024-6019
(201) 944-4477
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD2346
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7445903
—
NJ
Enumeration date
02/26/2016
Last updated
08/31/2016
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