| Organization Name: | EA BATELLI DPM LLC |
| NPI Number: | 1073930087 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EUGENE A BATELLI (OWNER) |
| Mailing Address: | 7000 Blvd East Ste M-5 Guttenberg |
| State: | NJ US |
| Postal Code: | 070934825 |
| Phone Number: | 2012951001 |
| Fax Number: | 2016232462 |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00255600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |