NPI | 1841555224 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC STRULOWITZ Owner 201-638-7494 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25md00308800) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25md00308800) |
213EP0504X Podiatrist, Public Medicine (Licence: NJ 25md00308800) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25md00308800) | |
213ER0200X Podiatrist, Radiology (Licence: NJ 25md00308800) | |
213ES0000X Podiatrist, Sports Medicine (Licence: NJ 25md00308800) | |
213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25md00308800) | |
Enumeration Date | 2012-07-11 |
Last Update Date | 2015-01-06 |