| NPI | 1346505666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA K MAINIERO Practice Administrator 610-644-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |