NPI | 1811191588 |
---|---|
Doing Business As | BUSTLETON GASTROENTEROLOGY ASSOC |
Entity Type | Organization |
Authorized Contact | MICHAEL LIEB Owner 215-464-7222 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2007-06-14 |
Last Update Date | 2016-07-25 |