NPI | 1336835834 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT JOSEPH IANNUCCI Owner 610-444-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
261Q00000X Clinic/Center | |
Enumeration Date | 2023-04-17 |
Last Update Date | 2023-04-17 |