| NPI | 1225197809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N BOSACCO Owner Md 610-565-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |