Organization
AT YOUR FEET PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIANI MARTINEZ D.P.M. (SOLE PROPIETOR)
(917) 445-4992
Entity
Organization
Contact information
Practice address
387 W BLACKWELL ST, DOVER, NJ 07801-2559
(973) 366-8000
Mailing address
387 W BLACKWELL ST, DOVER, NJ 07801-2559
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00276200
NJ
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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