| NPI | 1871050948 |
|---|---|
| Former Legal Business Name | NEW JERSEY FOOT & ANKLE CENTERS 2 LLC |
| Entity Type | Organization |
| Authorized Contact | MARYELLEN PATRICIA BRUCATO Owner 732-691-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-11-21 |