| NPI | 1437340932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HAGEN President 201-445-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD1961) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2010-10-01 |