| NPI | 1326812314 |
|---|---|
| Doing Business As | LVPG COLON RECTAL SURGERY - HIGHLAND AVE |
| Entity Type | Organization |
| Authorized Contact | JAMES DEMOPOULOS VP 484-862-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |