NPI | 1326315763 |
---|---|
Doing Business As | MONTVALE PODIATRY |
Entity Type | Organization |
Authorized Contact | DMITRI N. LUKE Owner 201-573-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ 25MD00295700) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |