Organization
CURALTA MEDICAL LLC
Active
Other names
Boltrope Podiatry LLC, Boltrope Podiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GEWIRTZ DPM (MANAGING PARTNER)
(201) 391-1113
Entity
Organization
Contact information
Practice address
400 FRANKLIN TPKE STE 202, MAHWAH, NJ 07430-3516
(201) 818-9114
(201) 934-8223
Mailing address
201 STATE RT 17 STE 604, RUTHERFORD, NJ 07070-2905
(201) 571-0214
(201) 775-4169
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0899976
—
NJ
Enumeration date
11/10/2022
Last updated
06/27/2024
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