Organization
H.B. PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY BORRELLI DPM (PRESIDENT)
(732) 968-3900
Entity
Organization
Contact information
Practice address
309 ROCK AVE, GREEN BROOK, NJ 08812-2616
(732) 968-3900
Mailing address
366 UPPER MOUNTAIN AVE, UPPER MONTCLAIR, NJ 07043-1436
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00227300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7451105
—
NJ
Enumeration date
08/14/2006
Last updated
08/22/2020
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