| NPI | 1659676971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY INNOCENZI Owner 330-702-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: HI PO190) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |