| NPI | 1043377351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY IVANOVS Owner 973-366-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ md01886) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-04-22 |