NPI | 1861544645 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL FERGUSON QUARTEY President 215-471-1407 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC00208IL) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |