Organization
ELENA BLANCO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA BLANCO D.P.M. (OWNER/DOCTOR)
(201) 488-7577
Entity
Organization
Contact information
Practice address
125 PROSPECT AVE, HACKENSACK, NJ 07601-2233
(201) 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
25MD00266200
NJ
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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