| NPI | 1033540042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR M MOVALIA Manager 215-390-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA DS029728l) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |