Organization
JERSEY FAMILY FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WALTUCH DPM (DOCTOR OF PODIATRIC MEDICINE)
(718) 510-5487
Entity
Organization
Contact information
Practice address
36 GLENWOOD DR N, BERGENFIELD, NJ 07621-3346
(718) 510-5487
Mailing address
36 GLENWOOD DR N, BERGENFIELD, NJ 07621-3346
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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