| Organization Name: | PROMPT PODIATRY, LLC |
| NPI Number: | 1568860872 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VITO PETRUZZELLA (OWNER) |
| Mailing Address: | 710 Somerset St Watchung |
| State: | NJ US |
| Postal Code: | 070694941 |
| Phone Number: | 9088721544 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2014 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00153700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |