| NPI | 1013327477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALLEN GODWIN Plastic Surgeon 215-266-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA OS013816) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |