NPI | 1003680240 |
---|---|
Other Name | BOLTROPE PODIATRY LLC |
Entity Type | Organization |
Authorized Contact | ARIELLE ALEXA DIBATTISTA Credentialing Manager 201-571-0214 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 213E00000X Podiatrist |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2023-11-08 |
Last Update Date | 2024-01-25 |