| NPI | 1497094726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASUDEVAN TIRUCHELVAM Sole Proprietor 717-801-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD033513E) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |