| NPI | 1760600985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J DOOLAN President 201-836-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ 25MD0026400) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-30 |