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Individual

ELENA BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
125 PROSPECT AVE, HACKENSACK, NJ 07601-2233
(210) 488-7577
(201) 488-1807
Mailing address
125 PROSPECT AVE, HACKENSACK, NJ 07601-2233
(201) 488-7577
(201) 488-1807

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD002662
NJ

Other

Enumeration date
11/21/2006
Last updated
08/07/2007
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