| NPI | 1417469503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A MOTE President/CEO 484-470-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0000193) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC-005870) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |