Organization
BERGEN RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLA RENEE MENILLO DPM (OWNER)
(201) 414-8089
Entity
Organization
Contact information
Practice address
315 ROCHELLE AVE, ROCHELLE PARK, NJ 07662-3916
(201) 414-8089
(201) 843-1036
Mailing address
315 ROCHELLE AVE, ROCHELLE PARK, NJ 07662-3916
(201) 414-8089
(201) 843-1036
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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