| NPI | 1700398906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G KACHMAR Owner 732-269-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Additional Taxonomies | 2086S0129X |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |