| NPI | 1902353881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALY GONZALEZ Practice Administrator 732-442-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |