person
Dr. Alex D Blanco, DPM
Foot & Ankle Surgery Podiatrist in Passaic, New Jersey
NPI 1881677987

Alex D Blanco is a Foot & Ankle Surgery Podiatrist based in Passaic, NJ and is specialized in Foot & Ankle Surgery. Alex D Blanco practices in Passaic, NJ and has the professional credentials of DPM. The NPI Number for Alex D Blanco is 1881677987 and holds a License No. 25MD00277500 (New Jersey).

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

Location: 180 Lafayette Ave, Passaic, NJ, 07055-4746
person
Provider Profile Details
NPI Number
1881677987
Provider Name
Alex D Blanco
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
180 Lafayette Ave, Passaic, NJ, 07055-4746
Phone Number
973-941-3769
Fax Number
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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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
State
Zip
07055-4746
Phone Number
973-941-3769
Fax Number
person
Provider Business Mailing Address Details
Address
180 Lafayette Ave
City
State
Zip
07055-4746
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
License No.
25MD00277500 (New Jersey)
Definition
Definition to come...
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