| NPI | 1295072627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE GITTENS Owner 732-397-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00309500) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2016-11-16 |