| NPI | 1972743912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLES DE MUTH Owner 610-869-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD431985) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2018-11-05 |