| NPI | 1053486779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART B. TOLLEN President 215-885-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA DC004405L) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-03-05 |