| NPI | 1588179568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE D KASSAN Owner 215-336-4151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: PA SC003381L) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |