| NPI | 1932586708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SAMOFAL Podiatrist 973-925-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NJ 25MD00323100) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-06-07 |