| NPI | 1821160011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE ELIZABETH COCH BENSTOCK President 610-325-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA md07523l) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-11-01 |