| NPI | 1790004547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA IBANEZ Owner 215-622-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006004) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |