| NPI | 1134566292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCCARROLL Physician 610-841-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: PA SC003851-L) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2015-02-16 |