| NPI | 1770663957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES AZYBUIKE ANENE President Owner 215-785-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD066370L) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA06518800) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |