Individual provider · Type 1 NPI
Melrose Blake-Bethea, DPM
Primary Podiatric Medicine Podiatrist · Irvington, NJ
NPI number
1386674273
Active
Practice location
774 Chancellor Ave
Irvington, NJ 07111-2955
Fax (973) 371-7990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 25MD00228700 (NJ) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1386674273
Melrose Blake-Bethea, DPM's National Provider Identifier is 1386674273, issued on Jul 4, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Irvington, NJ. The record was last updated on Jul 8, 2007.