| NPI | 1982993119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA I OBIDIGBO Owner 973-216-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00296100) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2012-01-19 |