MELROSE BLAKE-BETHEA

IRVINGTON, NJ
NPI1386674273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: NJ  25MD00228700)
Enumeration Date2006-07-04
Last Update Date2007-07-08
Business Address
-- MELROSE BLAKE-BETHEA DPM
774 CHANCELLOR AVE
IRVINGTON, NJ 07111-2955
Phone number: 973-375-5882
Mailing Address
-- MELROSE BLAKE-BETHEA DPM
774 CHANCELLOR AVE
IRVINGTON, NJ 07111-2955
Phone number: 973-375-5882
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