| NPI | 1467973305 |
|---|---|
| Doing Business As | HOLY REDEEMER PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL WAGNER CFO 215-856-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |