| NPI | 1457309650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA SANTIAGO Enrollment 484-884-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-03-06 |