| NPI | 1164517702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S BOLAND Plastic And Reconstructive Surgeon 717-541-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA OS-005543-L) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-04-08 |