NPI | 1366631194 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN JOSEPH MCEVOY Sole Prop 201-825-4840 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD02487) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |