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Organization
JERSEY FAMILY FOOT AND ANKLE LLC
Active
Organization
JERSEY FAMILY FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WALTUCH DPM (DOCTOR OF PODIATRIC MEDICINE)
(718) 510-5487
Entity
Organization
Contact information
Practice address
36 GLENWOOD DR N, BERGENFIELD, NJ 07621-3346
(718) 510-5487
Mailing address
36 GLENWOOD DR N, BERGENFIELD, NJ 07621-3346
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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