| NPI | 1639678246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN MICHAEL AUFSEESER Dpm 732-367-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25md00332400) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-03-08 |