| NPI | 1760697791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA VANDEN BERG Doctor 201-768-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY NY00478) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2020-08-22 |