| NPI | 1245423060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA BLANCO Owner/Doctor 201-488-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00266200) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |