| NPI | 1942461298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED L JENNINGS Office Manager 610-521-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA md025276e) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |