| NPI | 1972771129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY V BENEDETTO Medical Director 215-546-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA 207ND0101X) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2014-12-16 |