Organization
JOSE GRULLON DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHTAB ABBASI (OFFICE MANAGER)
(917) 336-8422
Entity
Organization
Contact information
Practice address
6301 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3420
(201) 662-8700
(201) 453-8075
Mailing address
6301 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3420
(201) 662-8700
(201) 453-8075
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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