| NPI | 1467679787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA ARIANNE PARE Owner 724-941-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD068364L) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-12-10 |