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Organization
NEW JERSEY PODIATRY, LLC
Active
Organization
NEW JERSEY PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY GOMEZ (D.P.M.)
(973) 202-4933
Entity
Organization
Contact information
Practice address
331 BOULEVARD, GLEN ROCK, NJ 07452-3212
(973) 202-4933
Mailing address
331 BOULEVARD, GLEN ROCK, NJ 07452-3212
(973) 202-4933
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00319300
NJ
Other
Enumeration date
08/19/2014
Last updated
02/13/2020
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