| NPI | 1851110787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GEWIRTZ Managing Partner/Cmo 201-391-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |