| NPI | 1801925078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN KENTNER Owner 215-696-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC004823L) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-10-26 |