| NPI | 1114181906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN R ROMAN Sole Mbr 908-352-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD002838) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |