| NPI | 1639142730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A. MOLITERNO Office Manager 908-852-0229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00171800) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-08-10 |