| NPI | 1801986146 |
|---|---|
| Doing Business As | HEALTHDRIVE PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | SHADI ADIB ABBOUD Treasurer/Practice Director 857-255-0486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-12-31 |