| NPI | 1750560025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE CORTES Representative 201-610-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00289400) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |