| NPI | 1437211802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JAY KALISH Owner 772-567-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO-001790) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-04-13 |