| NPI | 1013040435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANNDA RICHLINE Doctor 908-475-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ md02394) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-09-27 |