| NPI | 1497252142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY NALIN BHUTA Owner 732-532-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 25MD00325500) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |