| NPI | 1770524175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD V. VERNOSE Owner 215-465-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PA MD015406E) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PA OS007444L) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-07-07 |