| NPI | 1013946995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD J MILSTEIN Owner 215-483-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS008600L) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD020207E) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |