| NPI | 1386194694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK MATSINGER EVP, Chief Operating Officer 856-355-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00313600) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2024-09-03 |