| NPI | 1619296621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM STOTT Administrative Manager 610-359-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2013-11-18 |