| NPI | 1891852653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHAN CHANNING GRAVES CEO President 215-879-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD 028158E) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-05-20 |