| NPI | 1750467460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JEAN MANDEL Owner 610-667-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC005776) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |