| NPI | 1316194632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT JOSEPH GUSTAFSON Vice President 610-377-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC004598L) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-02-05 |