| NPI | 1932413606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS RAGINSKY President/Owner 877-417-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: NJ MD2554) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-02-22 |