Organization
APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA CARVAJAL DPM (MEDICAL DIRECTOR)
(201) 758-9300
Entity
Organization
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
25MD00260600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8340307
—
NJ
Enumeration date
11/11/2010
Last updated
11/11/2010
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