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NPI 1417713165

NPI 1417713165 : CURALTA MEDICAL LLC : BERKELEY HEIGHTS, NJ

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General NPI Number Information
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    NPI Number           |    1417713165
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    Entity Type          |    Organization 
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    Legal Business Name  |    CURALTA MEDICAL LLC 
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Dates
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    Enumeration Date     |    02/21/2024
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    Last Update Date     |    02/21/2024
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Provider Practice Location Address
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    Address Line         |    369 SPRINGFIELD AVE 
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    City                 |    BERKELEY HEIGHTS
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    State                |    NJ
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    Zip                  |    07922-1170
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    Country              |    US
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    Telephone            |    908-381-8160
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    Fax                  |    908-306-9766
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Provider Business Mailing Address
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    Address Line         |    201 STATE RT 17 STE 604 
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    City                 |    RUTHERFORD
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    State                |    NJ
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    Zip                  |    07070-2574
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    Country              |    US
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    Telephone            |    201-571-0214
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CHIEF MEDICAL OFFICER
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    Name                 |    DR. JEFFREY  GEWIRTZ 
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    Credential           |    DPM
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    Telephone            |    201-391-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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