| NPI | 1528379823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE BRADY Manager 610-432-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA OS004677L) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2015-05-13 |