| NPI | 1447425590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J LANCZ Owner 732-364-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ MD002201) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-02-01 |