| NPI | 1710349196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE C GRIEB-DONOVAN Office Manager 732-349-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00147800) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |