| NPI | 1427246354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA GILLESPIE Office Manager 201-818-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00180700) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-04-13 |