| NPI | 1538243076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T. BRAVER Owner 201-791-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00166400) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-10-28 |