| NPI | 1093790164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D BAER President 610-642-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004682L) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00273700) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-02-18 |