Individual
JOSE ELIGIO GRULLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
725 EASTON RD STE 1, HELLERTOWN, PA 18055-1502
(610) 838-6808
Mailing address
725 EASTON RD STE 1, HELLERTOWN, PA 18055-1502
(610) 838-6808
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007452
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00364400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
02/04/2026
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