NPI | 1629369996 |
---|---|
Entity Type | Organization |
Authorized Contact | LEO DAVIDSON Owner 732-709-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00307600) |
Enumeration Date | 2011-04-21 |
Last Update Date | 2011-04-21 |