| NPI | 1336563766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIULIANA BACZYK Admin 201-482-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00307400) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2018-02-16 |