Provider Demographics
NPI:1073930087
Name:EA BATELLI DPM LLC
Entity Type:Organization
Organization Name:EA BATELLI DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BATELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-295-1001
Mailing Address - Street 1:7000 BLVD EAST STE M-5
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4825
Mailing Address - Country:US
Mailing Address - Phone:201-295-1001
Mailing Address - Fax:201-623-2462
Practice Address - Street 1:7000 BLVD EAST STE M-5
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-4825
Practice Address - Country:US
Practice Address - Phone:201-295-1001
Practice Address - Fax:201-623-2462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00255600213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty