NPI | 1861480618 |
---|---|
Doing Business As | OTOLARYNGOLOGY ASSOCIATES PPP |
Entity Type | Organization |
Authorized Contact | THOMAS G KUPP CFO 215-707-7551 |
Organization Subpart ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
Enumeration Date | 2005-10-06 |
Last Update Date | 2020-08-22 |