| NPI | 1962463513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE FRITZ Practice Manager 610-861-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD035656L) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: PA MD055454L) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |