| NPI | 1083085195 |
|---|---|
| Doing Business As | FLORHAM PARK PODIATRY |
| Entity Type | Organization |
| Authorized Contact | TARAMICHELLE CRAFT Credentialing Clerk 228-366-4335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00322300) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-10-28 |