# NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NJ Minimally Invasive Podiatric Surgery P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285369272
- **Authorized official:** JOSE ELIGIO GRULLON JR. DPM (PODIATRIST)
- **Authorized official phone:** (201) 598-1184

## Contact information

- **Practice address:** 173 KINGSBURY CT, NAZARETH, PA 18064-1147
- **Practice address phone:** (201) 701-1595
- **Practice address fax:** (212) 867-3845
- **Mailing address:** 173 KINGSBURY CT, NAZARETH, PA 18064-1147
- **Mailing address phone:** (201) 598-1184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2022
- **Last updated:** 06/09/2025