| NPI | 1508998824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX D BLANCO Owner 973-941-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00277500) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-06-01 |