Balanced Well Podiatry

NPI #1902267792 in Fair Lawn, New Jersey

Provider Information

NPI Number: 1902267792
Entity Type: Organization
Organization Name: Balanced Well Podiatry
Subpart: Yes (part of a larger organization)
Parent Organization: BALANCED WELL MEDICAL
Primary Specialty: Podiatrist
Enumeration Date: Mar 8, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 23-08 MAPLE AVE
City: Fair Lawn
State: New Jersey
ZIP Code: 07410-1583
Phone: (201) 794-4500

Authorized Official

Name: DR. ROTH RILEY, MD
Title: DIRECTOR
Phone: (201) 794-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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