| NPI | 1942474960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JEFFREY GORDON Podiatrist 917-520-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00285200) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-05-28 |