Individual
MRS. MARTHA CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
221 60TH ST, WEST NEW YORK, NJ 07093-2805
(201) 758-9300
Mailing address
221 60TH ST, WEST NEW YORK, NJ 07093-2805
(201) 758-9300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MB00260600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8340307
—
NJ
Enumeration date
02/06/2007
Last updated
07/08/2007
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