NPI | 1407929631 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN DEITCH Owner President 732-747-2111 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00103800) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00256900) |
213E00000X Podiatrist (Licence: NJ 25MD00220900) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2010-04-06 |