| NPI | 1609812692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM LICHTENWALNER Vice President 610-954-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |