Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00329400 | NJ |
NPI | 1043681539 |
---|---|
Provider Name | Dr. Catherine Churchill |
First Address | Sea Girt, NJ 08750-1010 |
Second Address | Sea Girt, NJ 08750-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2015 |
Last Update Date | 16/01/2016 |