NPI | 1528115581 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT AGINS Owner 973-399-3232 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00124200) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2008-07-24 |