| NPI | 1811306434 |
|---|---|
| Former Legal Business Name | ALLIANCE FOOT & ANKLE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | IVELISSE VARGAS JON Owner 908-768-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 1026-25) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |