| NPI | 1093036857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VINCENT BAVA Owner 757-301-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103001037) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2023-03-15 |