| NPI | 1770088890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN SMITH Office Manager 732-367-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: 25md00332400) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |