| NPI | 1295867463 |
|---|---|
| Doing Business As | BRIDGEWATER PODIATRY CTR |
| Entity Type | Organization |
| Authorized Contact | DANA KENNETH WEBB Owner Physcian 908-704-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ MD01980) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ MD02538) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-02-15 |