NPI | 1811938863 |
---|---|
Other Name | DERMATOLOGIC SURGICENTER |
Entity Type | Organization |
Authorized Contact | ANTHONY V BENEDETTO Medical Director 215-546-3666 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 04841500) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2014-12-16 |