| NPI | 1265123780 |
|---|---|
| Other Name | BOLTROPE PODIATRY LLC |
| Former Legal Business Name | BOLTROPE PODIATRY LLC |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LIEM CFO 201-571-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-04-18 |