Individual
DR. MICHAEL RALLATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
528 BOULEVARD, KENILWORTH, NJ 07033-1657
(908) 276-6624
(908) 709-0163
Mailing address
528 BOULEVARD, KENILWORTH, NJ 07033-1657
(908) 276-6624
(908) 709-0163
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00286500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8719501
—
NJ
Enumeration date
06/30/2006
Last updated
06/02/2008
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