| NPI | 1992101745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA PODORSKI Billing Manager 856-435-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00255900) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |