Individual provider · Type 1 NPI
Alex D. Blanco, DPM
Foot & Ankle Surgery Podiatrist · Passaic, NJ
NPI number
1881677987
Active
Practice location
180 Lafayette Ave, Apt 12A
Passaic, NJ 07055-4746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00277500 (NJ) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N0060221 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Passaic
About NPI 1881677987
Alex D. Blanco, DPM's National Provider Identifier is 1881677987, issued on Nov 22, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Passaic, NJ. The record was last updated on May 31, 2016.