| NPI | 1669771242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVINDRA POONAI Owner 732-246-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ER0200X Podiatrist, Radiology | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |