| NPI | 1750154530 |
|---|---|
| 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 | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-07-25 |