| NPI | 1487704417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MANNIX Office Manager 908-755-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00274800) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00274700) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-09-09 |