NPI | 1073827804 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL EGLOW Owner 973-763-1248 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25md00137400) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2013-02-27 |