Organization Name: | CUNHA PODIATRY GROUP |
NPI Number: | 1053617753 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIGUEL CUNHA (PODIATRIST) |
Mailing Address: | 1132 Clinton St Apt 614 Hoboken |
State: | NJ US |
Postal Code: | 070303249 |
Phone Number: | 2022536122 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2011 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00303600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |