| NPI | 1174636153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208600000X Surgery |
| 208200000X Plastic Surgery | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-01-23 |