NPI | 1962696377 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW T PROKURAT Chief Operating Officer 610-435-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005967) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |