| NPI | 1033952619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GEWIRTZ Medical Director 201-391-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |