| Organization Name: | NJ FOOT DOCS PC |
| NPI Number: | 1033400593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALVATORE GAUDINO (PARTNER) |
| Mailing Address: | 148 Route 31 2nd Floor Flemington |
| State: | NJ US |
| Postal Code: | 088224967 |
| Phone Number: | 8003668362 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2011 |
| NPI Last Update Date: | 05/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |