NPI | 1720450737 |
---|---|
Entity Type | Organization |
Authorized Contact | VITO PETRUZZELLA Podiatrist 201-659-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 2MD00153700) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |