NPI | 1376743633 |
---|---|
Former Legal Business Name | JAMES J. GOETZ |
Entity Type | Organization |
Authorized Contact | JAMES J GOETZ Podiatrist 631-586-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004737) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2009-12-23 |