NPI | 1154405827 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT HEWITT BERNSTEIN CEO 610-997-0408 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC-003819L) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-30 |