| NPI | 1336550474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT IANNUCCI Sr Managing Partner 610-444-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2015-01-31 |