| NPI | 1063921260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PHILIP MARSHALL Surgeon/Owner 215-990-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MT 35293) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |