| NPI | 1073575973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE H GAYLOR M.D./President 610-770-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PA MD022099E) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD022099E) |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: PA MD022099E) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-02-27 |