NPI | 1013383991 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON L CHENEY Sole Member 732-695-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00323400) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2024-08-01 |