| NPI | 1265468722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINILDA RODRIGUEZ Owner 484-664-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004807) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC004807) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: PA SC004807) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC004807) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-11-15 |