NPI | 1770620676 |
---|---|
Other Name | MAIN STREET FOOT & ANKLE |
Entity Type | Organization |
Authorized Contact | MARK A MAJESKI Owner 732-349-0114 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD001939) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-12-18 |