| Doctor Name: | DR. CATHERINE CHURCHILL |
| NPI Number: | 1043681539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | 25MD00329400 |
| Business Practice Address: | 2130 Route 35 Building C Suite 312 Sea Girt, NJ - 087501010 |
| Business Phone Number: | 7329748200 |
| Business Fax Number: | |
| Mailing Address: | 2130 Route 35, Building C Suite 312 SEA GIRT |
| State: | NJ |
| Postal Code: | 087501010 |
| Phone Number: | 7329748200 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2015 |
| NPI Last Update Date: | 01/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00329400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |