| NPI | 1588683734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA HERNANDEZ Office Manager 215-568-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-03 |