| NPI | 1538879267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL VAYSBERG Owner 610-529-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |