NPI | 1629459219 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R CICERO Surgeon Podiatrist 973-338-3933 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00154100) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2015-06-09 |