NPI | 1578740213 |
---|---|
Entity Type | Organization |
Authorized Contact | DINO DITROLIO Owner 201-664-0225 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD01931) |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2008-01-24 |
Last Update Date | 2022-11-11 |