Organization
BALANCED WELL PODIATRY
Active
Parent organization
BALANCED WELL MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALANCED WELL MEDICAL
Authorized official
DR. ROTH RILEY MD (DIRECTOR)
(201) 794-4500
Entity
Organization
Contact information
Practice address
23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
(201) 794-4500
(201) 794-4502
Mailing address
23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
(201) 794-4500
(201) 794-4502
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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