| NPI | 1306969001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH DUPREE President 215-633-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD042133E) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD073497L) |
| 208600000X Surgery (Licence: PA MD429193) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2009-07-20 |