| NPI | 1679689095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-03-07 |