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Organization

BELVIDERE FOOT & ANKLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARYELLEN PATRICIA BRUCATO DPM (OWNER)
(732) 691-0279
Entity
Organization

Contact information

Practice address
8 GREENWICH ST, BELVIDERE, NJ 07823-1421
(201) 977-1406
Mailing address
550 KINDERKAMACK RD # 121, ORADELL, NJ 07649-1500
(201) 977-1406

Taxonomy

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

Other

Enumeration date
05/10/2018
Last updated
05/10/2018
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