| NPI | 1952018202 |
|---|---|
| Former Legal Business Name | BOLTROPE PODIATRY LLC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GEWIRTZ Medical Officer 201-391-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-09-09 |