| NPI | 1871761684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD I LEBOVIC Podiatrist 732-613-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-06-17 |