NPI | 1326496217 |
---|---|
Former Legal Business Name | NEWMAN PODIATRY, LLC |
Entity Type | Organization |
Authorized Contact | ROBERT PATRICK THIELE Sole Owner 908-231-1114 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00160100) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2023-01-10 |