| NPI | 1417591645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EHINGER Sr VP Financial Operations 484-628-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 208000000X Pediatrics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2022-05-06 |