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 |