| NPI | 1043206899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P BANCO President 610-372-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD065781L) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA PT002688E) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-02-21 |