| NPI | 1528251469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY SHERMAN Owner 973-359-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00080000) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NJ 25MD00080000) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-10-27 |