| NPI | 1891899092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J GIBBONS Doctor Owner 732-254-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00194800) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2013-10-18 |