| NPI | 1134684970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J. AZZOLINI Authorized Official 201-308-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-03-08 |