| NPI | 1346296688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VSEVOLOD KOHUTIAK Director 610-891-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-04-08 |