| NPI | 1053517169 |
|---|---|
| Doing Business As | KOLE PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWARD SCOTT KOLE President 215-354-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA OS 009149-L) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-08-14 |