Foot and Ankle Center of Fort Lee, LLC
NPI #1043495641 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1043495641
- Entity Type
- Organization
- Organization Name
- Foot and Ankle Center of Fort Lee, LLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jan 2, 2008
- Last Updated
- Apr 21, 2020
Practice Location
- Address
- 2225 LEMOINE AVE FL 1
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-6104
- Phone
- (201) 363-9844
Authorized Official
- Name
- DR. GAVRIIL KHAIMOV, DPM
- Title
- PRESIDENT
- Phone
- (201) 363-9844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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