| NPI | 1346558558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN GANESH Owner 201-220-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 1862) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-05-23 |