Provider Demographics
NPI:1851097885
Name:CURALTA MEDICAL LLC
Entity Type:Organization
Organization Name:CURALTA MEDICAL LLC
Other - Org Name:BOLTROPE PODIATRY LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEWIRTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-391-1113
Mailing Address - Street 1:74 PASCACK RD STE 11
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07656-1942
Mailing Address - Country:US
Mailing Address - Phone:887-777-1430
Mailing Address - Fax:
Practice Address - Street 1:725 RIVER RD STE 201A
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-9800
Practice Address - Country:US
Practice Address - Phone:888-777-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty