| 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 |