| NPI | 1497375802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK RUDORFER Owner/Physician 732-451-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2023-01-11 |