| NPI | 1508049123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY GOSS Physician 215-425-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004111L) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |