| NPI | 1013031053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNELL PAUL MOORE Member 973-337-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00289000) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-06-27 |