| NPI | 1487683751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A. MERCIER Office Manager 610-770-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD032904L) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD428579) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |