| NPI | 1245668060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BENJAMIN SOFFER Sole Proprietor 410-775-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MD 01525) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-28 |