| NPI | 1063541779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOHNSTON Executive Director 215-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-07-24 |