| NPI | 1407107170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MILLER Dpm 973-365-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00120300) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2022-10-24 |