| NPI | 1033135249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELINO A DE SANTOS President Owner 215-891-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD037412L) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |