Provider Demographics
NPI:1396184990
Name:ABADEER, MINA KAMEL (DPM)
Entity Type:Individual
Prefix:
First Name:MINA
Middle Name:KAMEL
Last Name:ABADEER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:195 US HIGHWAY 46
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1824
Mailing Address - Country:US
Mailing Address - Phone:973-837-8173
Mailing Address - Fax:973-837-8174
Practice Address - Street 1:195 US HIGHWAY 46
Practice Address - Street 2:SUITE 12
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1824
Practice Address - Country:US
Practice Address - Phone:973-837-8173
Practice Address - Fax:973-837-8174
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MD00332500213ES0103X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine