| NPI | 1104264555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC I SURKIN President 610-902-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |