| NPI | 1366591596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J GREGORY BANCROFT Podiatrist 215-222-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC-001795-L) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |