NPI | 1487704078 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENE MASH Owner 484-351-8268 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD030337E) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051378) |
363AS0400X Physician Assistant, Surgical (Licence: PA MA051378) | |
363AM0700X Physician Assistant, Medical (Licence: PA MA052739) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2010-05-19 |