| NPI | 1174601462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G KACHMAR Director 732-269-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00154800) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |