| NPI | 1083847644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RALPH HAAG Podiatrist 856-885-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: DE E1-0000189) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2010-09-20 |