| NPI | 1083979694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN GURRIERI Credentialling 973-575-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2014-02-25 |