NPI | 1952736357 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID J ROMANO Managing Employee 304-843-5066 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WV 10417) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2014-03-20 |