NPI | 1013753227 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIENNE N SALANECK Owner 610-871-3856 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2024-07-08 |
Last Update Date | 2024-07-08 |