| 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 |