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Alex D Blanco, Dpm, Llc
Foot & Ankle Surgery Podiatrist in Passaic, New Jersey
NPI 1508998824

Alex D Blanco, Dpm, Llc is a Foot & Ankle Surgery Podiatrist based in Passaic, NJ and is specialized in Foot & Ankle Surgery. Alex D Blanco, Dpm, Llc practices in Passaic, NJ. The NPI Number for Alex D Blanco, Dpm, Llc is 1508998824 and holds a License No. 25MD00277500 (New Jersey).

The current practice location address for Alex D Blanco, Dpm, Llc is 180 Lafayette Ave, Passaic, NJ and can be reached out via phone at 973-941-3769.

Location: 180 Lafayette Ave, Passaic, NJ, 07055-4719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508998824
Provider Name
Alex D Blanco, Dpm, Llc
Credential
Provider Entity Type
Organization
Address
180 Lafayette Ave, Passaic, NJ, 07055-4719
Phone Number
973-941-3769
Fax Number
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018171 05 NJ
institution
Provider Business Practice Location Address Details
Address
180 Lafayette Ave
City
Passaic
State
New Jersey
Zip
07055-4719
Phone Number
973-941-3769
Fax Number
person
Provider Business Mailing Address Details
Address
180 Lafayette Ave
City
Passaic
State
New Jersey
Zip
07055-4719
Phone Number
973-941-3769
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
25MD00277500 (New Jersey)
Definition
Definition to come...
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