| NPI | 1073581542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA ELDRIDGE BORN Practice Manager Sec Trea Of Corp 717-741-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-11-24 |