Organization
MICHAEL D. WEINTHAL D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID WEINTHAL D.P.M. (OWNER)
(201) 391-1113
Entity
Organization
Contact information
Practice address
74 PASCACK RD, SUITE 6, PARK RIDGE, NJ 07656-1935
(201) 391-1113
(201) 391-1114
Mailing address
74 PASCACK RD, SUITE 6, PARK RIDGE, NJ 07656-1935
(201) 391-1113
(201) 391-1114
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00115100
NJ
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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