NPI | 1306050133 |
---|---|
Former Legal Business Name | FARRELL PLASTIC SURGERY, PC |
Entity Type | Organization |
Authorized Contact | LEO D FARRELL Owner 717-732-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD032080E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD032979E) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2022-12-05 |