| NPI | 1881348662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN V RYAN Managing Partner 610-906-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 213E00000X Podiatrist | |
| 261QP1100X Clinic/Center, Podiatric | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |