| NPI | 1124418918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA W BENNETT CEO 973-243-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD 1031) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |