| NPI | 1598893885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART G EIDELSON Owner 561-742-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0055593) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-09-09 |