Organization
CURALTA MEDICAL LLC
Active
Other names
Boltrope Podiatry LLC, Boltrope Podiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LIEM (CFO)
(201) 571-0214
Entity
Organization
Contact information
Practice address
55 N GILBERT ST STE 3104, TINTON FALLS, NJ 07701-4958
(732) 219-7005
(732) 219-7665
Mailing address
201 STATE RT 17 STE 604, RUTHERFORD, NJ 07070-2574
(201) 571-0214
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0899976
—
NJ
Enumeration date
11/02/2023
Last updated
07/25/2024
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