NPI | 1275958472 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN LEVINE Physician 201-303-1875 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00291500) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2016-06-20 |