Organization
PODIATRIC WELLNESS SPORTS MEDICINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PHILLIP DELLEGROTTI SR. DPM (PRESIDENT/PODIATRIST)
(609) 758-8008
Entity
Organization
Contact information
Practice address
10 MAIN ST, SUITE E, NEW EGYPT, NJ 08533-1400
(609) 758-8008
Mailing address
10 MAIN ST, SUITE E, NEW EGYPT, NJ 08533-1400
(609) 758-8008
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
25MD00263400
NJ
Other
Enumeration date
09/07/2008
Last updated
04/13/2011
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