person
Dr. Michael Rallatos, DPM
Foot & Ankle Surgery Podiatrist in Kenilworth, New Jersey
NPI 1962431445

Michael Rallatos is a Foot & Ankle Surgery Podiatrist based in Kenilworth, NJ and is specialized in Foot & Ankle Surgery. Michael Rallatos practices in Kenilworth, NJ and has the professional credentials of DPM. The NPI Number for Michael Rallatos is 1962431445 and holds a License No. 25MD00286500 (New Jersey).

The current practice location address for Michael Rallatos is 528 Boulevard, Kenilworth, NJ and can be reached out via phone at 908-276-6624 and via fax at 908-709-0163.

Location: 528 Boulevard, Kenilworth, NJ, 07033-1657
person
Provider Profile Details
NPI Number
1962431445
Provider Name
Michael Rallatos
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
528 Boulevard, Kenilworth, NJ, 07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8719501 05 NJ
institution
Provider Business Practice Location Address Details
Address
528 Boulevard
City
State
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
person
Provider Business Mailing Address Details
Address
528 Boulevard
City
State
Zip
07033-1657
Phone Number
908-276-6624
Fax Number
908-709-0163
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
25MD00286500 (New Jersey)
Definition
Definition to come...
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