| NPI | 1558451344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH DOOLAN President 201-836-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ MD00264400) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-06-11 |