| NPI | 1609047836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHRISTOPHER TYRRELL Podiatrist 856-663-3733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MD2500180000) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2008-03-16 |