| NPI | 1093217622 |
|---|---|
| Doing Business As | ACTIVE PODIATRY LLC |
| Entity Type | Organization |
| Authorized Contact | HOMAM BADRI Dpm 201-614-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD0032100) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-06-16 |