| NPI | 1548461015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL NASSOOR Podiatrist 908-454-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ MD01279) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-07-03 |