| NPI | 1134786510 |
|---|---|
| Doing Business As | NORTHERN SUN PODIATRY |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE DEMIDOWICH Member 973-464-7742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |