| NPI | 1689822975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM STEPHENS Podiatrist 609-978-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00225100) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2011-08-02 |