| NPI | 1801368097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY FEEHRER Billing Manager 610-779-2663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |