| NPI | 1790826717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J GROSS-EDWARDS President 484-895-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SCOO4802L) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2012-05-03 |