| NPI | 1902356215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK MATSINGER EVP And COO 856-355-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2025-05-06 |