| NPI | 1114989365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL CALLAGHAN President 908-686-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: NJ 45PO00012100) |
| Additional Taxonomies | 222Z00000X (Licence: NJ 45PO00012100) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-04-29 |