| NPI | 1013295070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANEESH AILAWADI Physician/Owner 484-955-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD428782) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-02-04 |