| NPI | 1053368555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J SMALL President 215-924-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: PA SC003322L) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2017-10-23 |