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Organization
NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C.
Active
Organization
NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C.
Active
Other names
NJ Minimally Invasive Podiatric Surgery P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ELIGIO GRULLON JR. DPM (PODIATRIST)
(201) 598-1184
Entity
Organization
Contact information
Practice address
173 KINGSBURY CT, NAZARETH, PA 18064-1147
(201) 701-1595
(212) 867-3845
Mailing address
173 KINGSBURY CT, NAZARETH, PA 18064-1147
(201) 598-1184
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
06/09/2025
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