NPI | 1003858598 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY G HERSTIK Doctor 201-816-8778 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD2186) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N004973) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2013-11-12 |