Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 25MD00332500 | NJ |
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00332500 | NJ |
NPI | 1396184990 |
---|---|
Provider Name | Mina Kamel Abadeer |
First Address | Totowa, NJ 07512-1824 |
Second Address | Totowa, NJ 07512-1824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 08/08/2016 |