| NPI | 1093905051 |
|---|---|
| Other Name | PEDIATRIC SUBSPECIALTY FACULTY, INC. |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M FARACE Billing Manager 714-516-4295 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-02-25 |