| NPI | 1376575993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE S MIRKIN Owner/President 410-266-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD2271) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-11-11 |