| NPI | 1740858638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER President 877-885-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
| 2088P0231X Urology, Pediatric Urology | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-10-22 |