| NPI | 1508050139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE JEANETTE GEHEGAN Sole Owner 201-840-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25md00272100) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2011-04-22 |