| NPI | 1548466261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLY SCOTT SHOLLENBERGER President 610-779-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC002902L) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-06-27 |