| NPI | 1902920739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2014-01-06 |