| 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 |