| NPI | 1790969202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE BRAZINSKI Doctor 908-604-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MD01616) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ MD0616) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-06-25 |