| NPI | 1902475122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E GLASER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
| 208200000X Plastic Surgery | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2088P0231X | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-08-06 |