| NPI | 1396905014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE R KAUDERER CEO 732-414-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22D101283400) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: NJ 25MD00276700) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |