| NPI | 1164959870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEVAT Podiatrist 973-300-2450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ MD01484) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |