| NPI | 1013000983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL RAEZER Physician/Owner 610-534-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD030565L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-04-22 |