| NPI | 1063003598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Supervisor 484-526-3569 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |