Alex D Blanco, Dpm, Llc

LBN: Alex D Blanco, Dpm, Llc
Alex D Blanco, Dpm, Llc is an health care organization with primary practice located at 180 Lafayette Ave Apt. 12A, Passaic NJ 07055-4719. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Alex D Blanco, Dpm, Llc can be contacted via phone (973) 941-3769, or through Blanco, Alex D via phone (973) 941-3769.

Contact Information

Primary practice address
180 Lafayette Ave Apt. 12A Passaic NJ 07055-4719
Phone: (973) 941-3769
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blanco, Alex D
Phone: (973) 941-3769

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00277500 New Jersey

Profile Details

NPI number 1508998824
LBN Legal business name Alex D Blanco, Dpm, Llc
DBA Doing business as
Authorized official Blanco, Alex D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Jun 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508998824 NPPES
New Jersey MEDICAID 0018171

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