NPI | 1316923915 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGG MILLER Sr. Vice President 610-644-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003246) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2021-10-13 |