| NPI | 1528256187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN STANOCH Business Administrator 609-799-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ AG0601357) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-02-18 |