| NPI | 1679284285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALDINI Credentialing Manager 267-304-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-11-01 |