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Organization

CURALTA MEDICAL LLC

Active
Other names
Boltrope Podiatry LLC, Boltrope Podiatry LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ZANDER LIEM (CFO)
(781) 733-3879
Entity
Organization

Contact information

Practice address
74 PASCACK RD STE 6, PARK RIDGE, NJ 07656-1942
(201) 391-1113
Mailing address
201 STATE RT 17 STE 604, RUTHERFORD, NJ 07070-2574
(201) 571-0214

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
213E00000X
Podiatrist
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist
213ES0131X
Foot Surgery Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0899976
NJ
Enumeration date
09/30/2021
Last updated
01/25/2024
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