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 |