NPI | 1053641431 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE G GREENFIELD Owner 610-449-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA sc0023171-1) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA scoo2317-1) |
Enumeration Date | 2010-01-06 |
Last Update Date | 2017-02-28 |