NPI | 1730373432 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE MARIE ANGELES Owner 215-334-2238 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MD 028466E) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2013-12-31 |