| NPI | 1609050152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LIZERBRAM Owner 215-855-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: PA SC002335L) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-02-06 |