| NPI | 1063601623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA SCOLL Owner 215-206-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC004133L) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2022-07-21 |