Organization
TATIANA DELAURENTIIS, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA DELAURENTIIS D.P.M. (PRESIDENT)
(917) 587-6209
Entity
Organization
Contact information
Practice address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 569-0212
(201) 569-7703
Mailing address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 569-0212
(201) 569-7703
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00296400
NJ
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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