| NPI | 1386136315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMON HANNA Podiatrist/Foot And Ankle Surgeon 201-925-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME131622) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3900) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-25 |