| NPI | 1871739607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G BAHDI Owner 201-657-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ 25MD00293300) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-30 |